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Individual
MR. CHARLES LOREN WRIGHT
Active
Individual
MR. CHARLES LOREN WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5692950-4701
UT
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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