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1922065291
CHARLES MICHAEL WORSHAM
TULSA, OK
NPI
1922065291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK 570)
Enumeration Date
2006-04-28
Last Update Date
2008-05-01
Business Address
-- CHARLES MICHAEL WORSHAM P.A.
6100 S YALE BLVD C/O EMP
TULSA, OK 74129-5101
Phone number: 918-502-3939
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Mailing Address
-- CHARLES MICHAEL WORSHAM P.A.
PO BOX 22063 DEPT 0289
TULSA, OK 74121-2063
Phone number: 405-751-4664
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