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1871527135
CHARLES E RUDOLPH
SAN ANGELO, TX
NPI
1871527135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TX 21568)
Enumeration Date
2006-07-10
Last Update Date
2008-05-20
Business Address
-- CHARLES E RUDOLPH PhD
3115 LOOP 306 SUITE 110
SAN ANGELO, TX 76904-5983
Phone number: 325-942-1952
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Mailing Address
-- CHARLES E RUDOLPH PhD
3115 LOOP 306 SUITE 110
SAN ANGELO, TX 76904-5983
Phone number: 325-942-1952
Copy
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