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1538139712
CHARLENE CARLA BLACHE
VALDOSTA, GA
NPI
1538139712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 045728)
Enumeration Date
2006-01-23
Last Update Date
2015-09-08
Business Address
Mrs. CHARLENE CARLA BLACHE M.D.
406 M NORTHSIDE DRIVE
VALDOSTA, GA 31602-1853
Phone number: 229-241-0059
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Mailing Address
Mrs. CHARLENE CARLA BLACHE M.D.
406 M NORTHSIDE DRIVE
VALDOSTA, GA 31602-1853
Phone number: 229-241-0059
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