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1558558544
CHARLES W WADE
MODESTO, CA
NPI
1558558544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Enumeration Date
2007-10-03
Last Update Date
2007-10-03
Business Address
-- CHARLES W WADE CP
937 COFFEE RD
MODESTO, CA 95355-4240
Phone number: 209-529-7221
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Mailing Address
-- CHARLES W WADE CP
937 COFFEE RD
MODESTO, CA 95355-4240
Phone number: 209-529-7221
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