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1821187899
CHARLES SAMUEL BLACKADAR
BREMERTON, WA
NPI
1821187899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA 37686)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
Dr. CHARLES SAMUEL BLACKADAR M.D.
1 BOONE RD NAVAL HOSPITAL
BREMERTON, WA 98312-1894
Phone number: 360-475-4426
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Mailing Address
Dr. CHARLES SAMUEL BLACKADAR M.D.
5802 LONDONDERRY LOOP NW
BREMERTON, WA 98312-1197
Phone number: 360-692-2276
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