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Organization
CHARLES J, ASWELL III MD A PROF MEDICAL CORP
Active
Organization
CHARLES J, ASWELL III MD A PROF MEDICAL CORP
Active
Other names
ASWELL RURAL HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SELENA DUTTON (PRACTICE ADMINISTRATOR)
(337) 363-7474
Entity
Organization
Contact information
Practice address
503 JACK MILLER RD, SUITE A, VILLE PLATTE, LA 70586-5607
(337) 363-7474
Mailing address
503 JACK MILLER RD, SUITE A, VILLE PLATTE, LA 70586-5607
(337) 363-7474
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/19/2012
Last updated
10/02/2013
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