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Individual

CHARLES CAMERON WORKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
2157 GREENBRIER ST, CHARLESTON, WV 25311-9623
(304) 344-5924
Mailing address
2157 GREENBRIER ST, CHARLESTON, WV 25311-9623
(304) 344-5924

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
38279
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255349726
WV
Enumeration date
03/31/2022
Last updated
03/31/2022
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