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Individual

CHARLES FREDERICK CLOSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
216 W WALNUT ST, DANVILLE, KY 40422-1858
(859) 239-5860
Mailing address
PO BOX 990, DANVILLE, KY 40423-0990
(859) 239-5870

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R4035
KY

Other

Enumeration date
03/25/2016
Last updated
07/18/2022
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