DOUGLAS ALLAN CHARLESWORTH

GOSHEN, IN
NPI1508875071
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01036465A)
Enumeration Date2006-08-05
Last Update Date2007-07-08
Business Address
Dr. DOUGLAS ALLAN CHARLESWORTH
2104 W SAYBROOK DR
GOSHEN, IN 46528-5709
Phone number: 574-534-4023
Mailing Address
Dr. DOUGLAS ALLAN CHARLESWORTH
2104 W SAYBROOK DR
GOSHEN, IN 46528-5709
Phone number: 574-534-4023
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