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1316915333
CHARLES BARRY COLLIER
MILLINGTON, TN
NPI
1316915333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-03-08
Last Update Date
2007-07-08
Business Address
-- CHARLES BARRY COLLIER IDC
BRANCH MEDICAL CLINIC, NSA MID SOUTH 5722 INTEGRITY DR BLDG
MILLINGTON, TN 38054
Phone number: 901-874-2077
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Mailing Address
-- CHARLES BARRY COLLIER IDC
577 PLUM TREE CIR
ATOKA, TN 38004-6682
Phone number: 901-837-9707
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