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1467938225
CHARLES BEACOM
BRANDYWINE, MD
NPI
1467938225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2018-07-16
Last Update Date
2018-07-16
Business Address
CHARLES BEACOM
13950 BRANDYWINE RD
BRANDYWINE, MD 20613-5815
Phone number: 855-546-0899
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Mailing Address
CHARLES BEACOM
4553 CASABLANCA CT
ANNANDALE, VA 22003-5726
Phone number: 703-870-1576
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