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1386617520
CHARLES A MUSGRAVE
ROSEBURG, OR
NPI
1386617520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA00770)
Enumeration Date
2006-02-08
Last Update Date
2010-01-28
Business Address
-- CHARLES A MUSGRAVE PA-C
2570 NW EDENBOWER BLVD SUITE 100
ROSEBURG, OR 97471-6214
Phone number: 541-957-1111
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Mailing Address
-- CHARLES A MUSGRAVE PA-C
PO BOX 1247 2570 NW EDENBOWER BLVD SUITE 100
ROSEBURG, OR 97470-0310
Phone number: 541-957-1111
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