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1336120575
CHARLES P BRAY
GRAND RAPIDS, MI
NPI
1336120575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601001995)
Enumeration Date
2005-11-07
Last Update Date
2024-03-20
Business Address
CHARLES P BRAY PA-C
2680 LEONARD ST NE STE 3
GRAND RAPIDS, MI 49525-6901
Phone number: 616-317-7246
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Mailing Address
CHARLES P BRAY PA-C
5555 GLENWOOD HILLS PKWY SE STE 2
GRAND RAPIDS, MI 49512-2091
Phone number: 616-940-2662
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