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1235307307
CHARLES GRAVELY
DALLAS, TX
NPI
1235307307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA02247)
Enumeration Date
2008-02-12
Last Update Date
2012-02-15
Business Address
-- CHARLES GRAVELY PA
11910 GREENVILLE AVE SUITE 500
DALLAS, TX 75243-3596
Phone number: 214-572-1124
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Mailing Address
-- CHARLES GRAVELY PA
11910 GREENVILLE AVE SUITE 500
DALLAS, TX 75243-3596
Phone number: 214-572-1124
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