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1336257765
CHRISTIAN B GENTRY
COMMERCE TOWNSHIP, MI
NPI
1336257765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: 2423)
Enumeration Date
2006-08-27
Last Update Date
2007-07-08
Business Address
Mr. CHRISTIAN B GENTRY SA
1 WILLIAM CARLS DR
COMMERCE TOWNSHIP, MI 48382-2201
Phone number: 248-937-5813
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Mailing Address
Mr. CHRISTIAN B GENTRY SA
2930 OLD ORCHARD DR
WATERFORD, MI 48328-3648
Phone number: 248-681-5207
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