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1629711700
CHARLES THOMAS MANSOUR
FAIRHOPE, AL
NPI
1629711700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-18
Last Update Date
2022-04-18
Business Address
CHARLES THOMAS MANSOUR MD
188 HOSPITAL DR STE 402
FAIRHOPE, AL 36532-2018
Phone number: 251-279-1245
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Mailing Address
CHARLES THOMAS MANSOUR MD
THOMAS HOSPITAL IM RESIDENCY PROGRAM 750 MORPHY AVENUE
FAIRHOPE, AL 36532
Phone number: 251-379-1529
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