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1730514225
CHARLES SAMUEL MAHAN
TAMPA, FL
NPI
1730514225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: FL ME26199)
Enumeration Date
2013-09-04
Last Update Date
2013-09-04
Business Address
Dr. CHARLES SAMUEL MAHAN MD
3111 E. FLETCHER AV.
TAMPA, FL 33611
Phone number: 813-988-1259
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Mailing Address
Dr. CHARLES SAMUEL MAHAN MD
3111 E. FLETCHER AV.
TAMPA, FL 33611
Phone number: 813-988-1259
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