KENNETH GARY CHARP

SAN MARCOS, CA
NPI1841384203
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: CA  E15360)
Enumeration Date2006-10-02
Last Update Date2014-01-06
Business Address
-- KENNETH GARY CHARP dpm
1553 GRAND AVE SUITE B
SAN MARCOS, CA 92078-2427
Phone number: 760-744-6226
Mailing Address
-- KENNETH GARY CHARP dpm
2982 CARRILLO WAY
CARLSBAD, CA 92009-3027
Phone number: 760-744-6226
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