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1386144699
CHARLES DYLAN MCLEAN
DOUGLAS, GA
NPI
1386144699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA PCET002651)
Enumeration Date
2018-02-14
Last Update Date
2018-02-14
Business Address
CHARLES DYLAN MCLEAN
118 PEARL AVE N
DOUGLAS, GA 31533-4632
Phone number: 912-331-0846
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Mailing Address
CHARLES DYLAN MCLEAN
118 PEARL AVE N
DOUGLAS, GA 31533-4632
Phone number: 912-331-0846
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