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1922570134
CHARLES KEITH DIDDY
FRESNO, CA
NPI
1922570134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 20174)
Enumeration Date
2018-12-28
Last Update Date
2018-12-28
Business Address
Dr. CHARLES KEITH DIDDY DDS
5637 N PALM AVE APT B
FRESNO, CA 93704-1829
Phone number: 559-246-0469
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Mailing Address
Dr. CHARLES KEITH DIDDY DDS
5637 N PALM AVE APT B
FRESNO, CA 93704-1829
Phone number: 559-246-0469
Copy
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