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1508634205
CHARLES JOHN STARK
CHICAGO, IL
NPI
1508634205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-12-13
Last Update Date
2023-12-13
Business Address
CHARLES JOHN STARK
240 E HURON ST STE 1-200
CHICAGO, IL 60611-2909
Phone number: 312-503-7975
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Mailing Address
CHARLES JOHN STARK
240 E HURON ST STE 1-200
CHICAGO, IL 60611-2909
Phone number:
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