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Individual

MR. CHARLES LEE OSTRANDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED.

Contact information

Practice address
10385 E. HIGHWAY 92, HEREFORD, AZ 85615-0038
(520) 366-6204
(520) 366-0313
Mailing address
PO BOX 38, HEREFORD, AZ 85615-0038
(520) 366-6204
(520) 366-0313

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
3916401
AZ

Other

Enumeration date
08/13/2007
Last updated
08/13/2007
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