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1932273190
CHARLES J LORD
RAPID CITY, SD
NPI
1932273190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: SD 2247)
Enumeration Date
2006-11-20
Last Update Date
2010-01-21
Business Address
Mr. CHARLES J LORD MD
419 QUINCY STREET
RAPID CITY, SD 57701
Phone number: 605-348-6365
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Mailing Address
Mr. CHARLES J LORD MD
419 QUINCY STREET
RAPID CITY, SD 57701
Phone number: 605-348-6365
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