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1740200815
CHARLES LAWRENCE BOCK
ROANOKE, VA
NPI
1740200815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: VA 0024093099)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
Mr. CHARLES LAWRENCE BOCK crna
7720 CREEK CIR
ROANOKE, VA 24018-6721
Phone number: 540-772-1169
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Mailing Address
Mr. CHARLES LAWRENCE BOCK crna
7720 CREEK CIR
ROANOKE, VA 24018-6721
Phone number: 540-772-1169
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