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1841646809
CHARLES FAGENHOLZ
COSTA MESA, CA
NPI
1841646809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111NI0013X Chiropractor, Independent Medical Examiner
(Licence: CA 33312)
Enumeration Date
2016-05-09
Last Update Date
2016-05-09
Business Address
-- CHARLES FAGENHOLZ dc
3151 AIRWAY AVE U-3
COSTA MESA, CA 92626-4607
Phone number: 714-754-8008
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Mailing Address
-- CHARLES FAGENHOLZ dc
21264 BEACH BLVD #203
HUNTINGTON BEACH, CA 92648-5482
Phone number:
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