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1275577637
CHARLES JACKSON WOODDELL
ALAMOGORDO, NM
NPI
1275577637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2471S1302X Radiologic Technologist, Sonography
(Licence: NM 106930)
Enumeration Date
2006-06-16
Last Update Date
2007-07-08
Business Address
Mr. CHARLES JACKSON WOODDELL RDMS
2474 INDIAN WELLS RD.
ALAMOGORDO, NM 88310-3927
Phone number: 505-921-3827
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Mailing Address
Mr. CHARLES JACKSON WOODDELL RDMS
1518 SCENIC DR
ALAMOGORDO, NM 88310-3927
Phone number: 505-921-3827
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