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1306173745
CHARLES LEE BERG
MIAMI, OK
NPI
1306173745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-11-05
Last Update Date
2009-11-05
Business Address
-- CHARLES LEE BERG
130 W STEVE OWENS BLVD
MIAMI, OK 74354-7629
Phone number: 918-542-2845
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Mailing Address
-- CHARLES LEE BERG
130 W STEVE OWENS BLVD
MIAMI, OK 74354-7629
Phone number: 918-542-2845
Copy
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