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1679690101
CHARLES EDWARD BOULDIN
TUPELO, MS
NPI
1679690101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: MS PT0198)
Enumeration Date
2007-03-22
Last Update Date
2010-11-08
Business Address
Mr. CHARLES EDWARD BOULDIN R.P.T.
4749 S EASON BLVD SUITE A
TUPELO, MS 38801-6547
Phone number: 662-842-3336
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Mailing Address
Mr. CHARLES EDWARD BOULDIN R.P.T.
4749 S EASON BLVD SUITE A
TUPELO, MS 38801-6547
Phone number: 662-842-3336
Copy
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