CHARLES BLAINE ILLINGWORTH

LANSDALE, PA
NPI1356813059
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: PA  AK001285)
Enumeration Date2018-12-19
Last Update Date2018-12-19
Business Address
Mr. CHARLES BLAINE ILLINGWORTH Dipl.Ac., L.Ac.
601 E MAIN ST
LANSDALE, PA 19446-2947
Phone number: 610-724-3284
Mailing Address
Mr. CHARLES BLAINE ILLINGWORTH Dipl.Ac., L.Ac.
4476 FLEMING ST
PHILADELPHIA, PA 19128-4809
Phone number: 610-724-3284
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