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Individual
CHARLIE PHARES
Active
Individual
CHARLIE PHARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
04024
MD
111N00000X
Chiropractor
12009
FL
111N00000X
Chiropractor
4613
OH
111N00000X
Chiropractor
Primary
S04024
MD
Other
Enumeration date
04/21/2016
Last updated
12/17/2024
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