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1841488087
CHARLES S NORTHUM
MUSKOGEE, OK
NPI
1841488087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: OK 20429)
Enumeration Date
2007-10-12
Last Update Date
2007-10-12
Business Address
Dr. CHARLES S NORTHUM M.D.
300 ROCKEFELLER DR
MUSKOGEE, OK 74401-5075
Phone number: 918-478-5517
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Mailing Address
Dr. CHARLES S NORTHUM M.D.
PO BOX 268947
OKLAHOMA CITY, OK 73126-8947
Phone number: 918-478-5517
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