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1821047853
CHARLES RUDOLPH
KANSAS CITY, MO
NPI
1821047853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO 2005020473)
Enumeration Date
2006-05-08
Last Update Date
2007-07-08
Business Address
-- CHARLES RUDOLPH O.D.
8600 WARD PKWY #710
KANSAS CITY, MO 64114-2614
Phone number: 816-523-8886
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Mailing Address
-- CHARLES RUDOLPH O.D.
11103 WEST AVE
SAN ANTONIO, TX 78213-1370
Phone number: 210-524-6663
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