CHARLES BROADWAY

KENNETT, MO
NPI1932331907
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2009-08-10
Last Update Date2009-08-10
Business Address
-- CHARLES BROADWAY
1109 JONES ST
KENNETT, MO 63857-3824
Phone number: 573-888-6545
Mailing Address
-- CHARLES BROADWAY
1109 JONES ST
KENNETT, MO 63857-3824
Phone number: 573-888-6545
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