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1427119502
CHARLES ADAMS BLAKELY
FORT DEFIANCE, AZ
NPI
1427119502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CO 22395)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
Dr. CHARLES ADAMS BLAKELY M.D.
FORT DEFIANCE INDIAN HOSPITAL CORNER ROUTE N7 AND N12
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8600
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Mailing Address
Dr. CHARLES ADAMS BLAKELY M.D.
3437 CALLE SUENOS SE
RIO RANCHO, NM 87124-6712
Phone number: 505-896-4093
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