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1093825150
CHARLES MICHAEL GRUDEM
OCALA, FL
NPI
1093825150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208VP0000X Pain Medicine, Pain Medicine
(Licence: FL ME 61060)
Enumeration Date
2006-08-30
Last Update Date
2008-06-27
Business Address
-- CHARLES MICHAEL GRUDEM MD
3200 SW 34TH AVE SUITE 502
OCALA, FL 34474-7456
Phone number: 352-629-7011
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Mailing Address
-- CHARLES MICHAEL GRUDEM MD
3200 SW 34TH AVE SUITE 502
OCALA, FL 34474-7456
Phone number: 352-629-7011
Copy
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