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1366484354
CHARLES MACK GRUBB
IRVING, TX
NPI
1366484354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA03541)
Enumeration Date
2006-06-12
Last Update Date
2024-05-22
Business Address
CHARLES MACK GRUBB P.A.
6750 N MACARTHUR BLVD STE 350
IRVING, TX 75039-2484
Phone number: 972-556-1616
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Mailing Address
CHARLES MACK GRUBB P.A.
6750 N MACARTHUR BLVD STE 350
IRVING, TX 75039-2484
Phone number: 972-556-1616
Copy
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