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1629189311
CHARLES ROBERT KELLER
LOGAN, OH
NPI
1629189311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: OH 34003787)
Enumeration Date
2006-08-31
Last Update Date
2020-11-23
Business Address
Dr. CHARLES ROBERT KELLER D.O.
1383 W HUNTER ST
LOGAN, OH 43138-1013
Phone number: 740-385-0202
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Mailing Address
Dr. CHARLES ROBERT KELLER D.O.
PO BOX 228
LOGAN, OH 43138-0228
Phone number: 740-385-0202
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