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1386365682
CHARLES EDMUND FTACEK
SAN DIEGO, CA
NPI
1386365682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133NN1002X Nutritionist, Nutrition, Education
Enumeration Date
2022-09-06
Last Update Date
2022-10-18
Business Address
CHARLES EDMUND FTACEK MS, CNS
4078 HAMILTON ST APT 3
SAN DIEGO, CA 92104-6144
Phone number: 615-815-6183
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Mailing Address
CHARLES EDMUND FTACEK MS, CNS
4078 HAMILTON ST APT 3
SAN DIEGO, CA 92104-6144
Phone number: 615-815-6183
Copy
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