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Individual

DR. CHARLES EDMUND RAYNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
56675
CA
1835P1300X
Psychiatric Pharmacist
Primary
56675
CA

Other

Enumeration date
04/03/2007
Last updated
01/24/2017
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