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1407880669
CHARLES BELLANGER
PHOENIX, AZ
NPI
1407880669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 1065)
Enumeration Date
2006-07-11
Last Update Date
2008-02-15
Business Address
-- CHARLES BELLANGER PA
1300 N 12TH ST STE 301
PHOENIX, AZ 85006-2813
Phone number: 602-239-6968
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Mailing Address
-- CHARLES BELLANGER PA
6032 W WILLOW AVE
GLENDALE, AZ 85304-1101
Phone number: 623-979-4699
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