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1285859843
CHARLES DIETRICH GROGAN
SARASOTA, FL
NPI
1285859843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA19756)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
Mr. CHARLES DIETRICH GROGAN PTA
5922 CATTLEMEN LANE SUITE 100
SARASOTA, FL 34232
Phone number: 941-378-8977
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Mailing Address
Mr. CHARLES DIETRICH GROGAN PTA
5922 CATTLEMEN LANE SUITE 100
SARASOTA, FL 34232
Phone number: 941-378-8977
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