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Individual

MR. CHARLES ALBERT WAR JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11836 AMPUCIA CT, LAS VEGAS, NV 89138-4569
(858) 999-6797
Mailing address
11836 AMPUCIA CT, LAS VEGAS, NV 89138-4569
(858) 999-6797

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/13/2016
Last updated
04/13/2016
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