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Individual
JUDY CHARLES
Active
Individual
JUDY CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0080161
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080161
RN LICENSE
OK
Enumeration date
09/21/2015
Last updated
09/21/2015
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