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Individual

MR. CHARLES D MCRAE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BACHELORS DEGREE

Contact information

Practice address
6885 W LONE MOUNTAIN RD APT 211, LAS VEGAS, NV 89108-5811
(702) 205-1290
Mailing address
6885 W LONE MOUNTAIN RD APT 211, LAS VEGAS, NV 89108-5811
(702) 205-1290

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
12/15/2010
Last updated
12/20/2010
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