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Individual

MR. CHARLES HENRY CHITTUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CONTRACTOR

Contact information

Practice address
8910 JOHN CLAYTON MEMORIAL HWY, GLOUCESTER, VA 23061-5323
(804) 693-0794
Mailing address
8910 JOHN CLAYTON MEMORIAL HWY, GLOUCESTER, VA 23061-5323
(804) 693-0794

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2705 052385
VA

Other

Enumeration date
02/27/2009
Last updated
02/27/2009
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