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Individual

MR. CHARLES ROBERT PURDY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
5667 MARK TRL, HOUSE SPRINGS, MO 63051-2240
(727) 776-5948
Mailing address
5667 MARK TRL, HOUSE SPRINGS, MO 63051-2240
(727) 776-5948

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1104666
KY
163W00000X
Registered Nurse
Primary
2003026652
MO
163W00000X
Registered Nurse
635760
CA
163W00000X
Registered Nurse
R51609
NM
163W00000X
Registered Nurse
RN9245172
FL

Other

Enumeration date
12/01/2008
Last updated
12/01/2008
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