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1114679867
CHARLES STEVEN GREAVES
AZUSA, CA
NPI
1114679867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX 2000041042)
Enumeration Date
2022-01-24
Last Update Date
2022-01-24
Business Address
CHARLES STEVEN GREAVES ATC
901 E ALOSTA AVE
AZUSA, CA 91702-2701
Phone number: 626-815-6000
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Mailing Address
CHARLES STEVEN GREAVES ATC
5004 MARSHBURN AVE
ARCADIA, CA 91006-5962
Phone number: 626-482-9573
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