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1770858656
CHARLES AUSTIN PERRY
LOUISVILLE, KY
NPI
1770858656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3007332)
Enumeration Date
2012-03-12
Last Update Date
2021-01-21
Business Address
CHARLES AUSTIN PERRY APRN
210 E GRAY ST SUITE 1105
LOUISVILLE, KY 40202-3900
Phone number: 502-583-1697
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Mailing Address
CHARLES AUSTIN PERRY APRN
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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