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Forrest Charles
NPI 1194840835 · on the registry since 2007 · sole proprietor
Practice
- Address
- 10703 S Old Glenn Hwy
Palmer, AK 99645 - Phone
- (907) 745-5715
- Fax
- (907) 745-0518
Registry record
- Primary taxonomy
- 310400000X
310400000X
- Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska