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CHARLES SOUTHERLY
Community Health Worker
NPI: 1275209488Individual
Specialties, Licenses & Credentials
Contact & Hours
- Address
- 1165 PIN OAK RD
PAW PAW, WV 25434 - Phone
- (304) 822-0390
Quick Facts
- NPI
- 1275209488
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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