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Individual

MR. CHARLES AARON WOODWARD III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2200 BERGQUIST DR, SAN ANTONIO, TX 78236-9907
(210) 292-7797
Mailing address
9914 W MILITARY DR, APT 412, SAN ANTONIO, TX 78251-1783

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
05/22/2013
Last updated
05/22/2013
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