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Individual

MR. CHARLES EDWARD REYNOLDS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3514 CLEARBROOK ST, MEMPHIS, TN 38118-5547
(901) 362-6015
(901) 404-5106
Mailing address
3514 CLEARBROOK ST, MEMPHIS, TN 38118-5547
(901) 362-6015
(901) 404-5106

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
113004427
TN

Other

Enumeration date
11/04/2013
Last updated
11/07/2013
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