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Individual

MR. CHARLES EDWIN BARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
300 SIOUX VALLEY DR, CHEROKEE, IA 51012-1205
(712) 225-5101
Mailing address
1125 W WILLOW ST, CHEROKEE, IA 51012-1564
(319) 541-6501

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D129223
IA
390200000X
Student in an Organized Health Care Education/Training Program
129223
IA

Other

Enumeration date
03/14/2012
Last updated
04/19/2017
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