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1871617019
DAVID J. CHARLTON
CORVALLIS, MT
NPI
1871617019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MT 119102418)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
-- DAVID J. CHARLTON athletic trainer
1020 EASTSIDE HIGHWAY
CORVALLIS, MT 59828
Phone number: 406-961-4305
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Mailing Address
-- DAVID J. CHARLTON athletic trainer
909 KERI WAY
CORVALLIS, MT 59828-9382
Phone number:
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