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1265524359
TERRY GRUCHOW
TAMPA, FL
NPI
1265524359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9102408)
Enumeration Date
2006-09-28
Last Update Date
2008-01-16
Business Address
-- TERRY GRUCHOW PA-C
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 813-745-3134
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Mailing Address
-- TERRY GRUCHOW PA-C
PO BOX 917770
ORLANDO, FL 32891-7770
Phone number:
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