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Individual

CHARLES EUGENE STREAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
133 EAST FREDEICK STREET, LANCASTER, PA 17602
(717) 394-9821
(717) 394-0175
Mailing address
133 EAST FREDEICK STREET, LANCASTER, PA 17602
(717) 394-9821
(717) 394-0175

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001924L
PA

Other

Enumeration date
10/29/2013
Last updated
10/30/2013
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