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1396299590
CHARLES STRANGE
GULFPORT, MS
NPI
1396299590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 901583)
Enumeration Date
2016-08-05
Last Update Date
2016-08-05
Business Address
-- CHARLES STRANGE
1340 BROAD AVE SUITE 450
GULFPORT, MS 39501-2404
Phone number: 228-867-5012
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Mailing Address
-- CHARLES STRANGE
PO BOX 1810
GULFPORT, MS 39502-1810
Phone number: 228-867-5012
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