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1841447406
CHARLES HARRELSON MOSS
FORT WALTON BEACH, FL
NPI
1841447406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AL 1-104360)
Enumeration Date
2008-08-25
Last Update Date
2019-06-25
Business Address
CHARLES HARRELSON MOSS CRNP
1825 HURLBURT RD STE 14
FORT WALTON BEACH, FL 32547-3737
Phone number: 850-610-8820
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Mailing Address
CHARLES HARRELSON MOSS CRNP
4440 FRUITVILLE RD
SARASOTA, FL 34232-1926
Phone number: 941-366-0134
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