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1285775304
CHARLES FREDRICK WHITE
GLENDALE, AZ
NPI
1285775304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: AZ 19604)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
Dr. CHARLES FREDRICK WHITE M.D.
5964 W POTTER DR
GLENDALE, AZ 85308-6727
Phone number: 623-561-6422
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Mailing Address
Dr. CHARLES FREDRICK WHITE M.D.
PO BOX 11348
GLENDALE, AZ 85318-1348
Phone number: 623-561-6422
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