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Individual
MR. CHARLES ROBERT PURDY JR.
Active
Individual
MR. CHARLES ROBERT PURDY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1104666
KY
163W00000X
Registered Nurse
Primary
2003026652
MO
163W00000X
Registered Nurse
635760
CA
163W00000X
Registered Nurse
R51609
NM
163W00000X
Registered Nurse
RN9245172
FL
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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