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1689900540
MARTHA A CHARLES
BASTROP, LA
NPI
1689900540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 870290)
Enumeration Date
2009-10-28
Last Update Date
2009-10-28
Business Address
-- MARTHA A CHARLES lpn
9211 COLLINSTON RD
BASTROP, LA 71220-8703
Phone number: 318-351-0850
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Mailing Address
-- MARTHA A CHARLES lpn
9211 COLLINSTON RD
BASTROP, LA 71220-8703
Phone number: 318-351-0850
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