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1518207331
CHARLES KENJI CARRAGHER
PENSACOLA, FL
NPI
1518207331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA9106937)
Enumeration Date
2013-02-15
Last Update Date
2013-02-15
Business Address
Mr. CHARLES KENJI CARRAGHER PA
5147 N 9TH AVE SUITE 322
PENSACOLA, FL 32504-8771
Phone number: 850-474-9995
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Mailing Address
Mr. CHARLES KENJI CARRAGHER PA
5548 CHARBAR DR
PENSACOLA, FL 32526-6502
Phone number: 850-474-9995
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