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1801373824
CHARLES GOTHARD
JONESBORO, AR
NPI
1801373824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A005795)
Enumeration Date
2018-07-23
Last Update Date
2024-03-12
Business Address
Mr. CHARLES GOTHARD APRN
416 E WASHINGTON AVE
JONESBORO, AR 72401-3108
Phone number: 870-333-5476
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Mailing Address
Mr. CHARLES GOTHARD APRN
PO BOX 497
AUGUSTA, AR 72006-0497
Phone number: 870-347-2534
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