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Individual
CHARLES A MCDYER JR.
Active
Individual
CHARLES A MCDYER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N., B.S.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN600126
PA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/24/2007
Last updated
01/12/2009
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