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1467160218
CHARLES CHRISTIAN
BONIFAY, FL
NPI
1467160218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
376G00000X Nursing Home Administrator
Enumeration Date
2022-11-10
Last Update Date
2022-11-10
Business Address
CHARLES CHRISTIAN
108 WAGNER RD
BONIFAY, FL 32425-2923
Phone number: 706-681-3684
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Mailing Address
CHARLES CHRISTIAN
92 BRADFORD ST APT 4
FORT WALTON BEACH, FL 32547-1943
Phone number: 706-681-3684
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