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1861754178
BETHANY MARIE GRUBB
CHARLOTTE, NC
NPI
1861754178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-03542)
Enumeration Date
2012-06-12
Last Update Date
2024-05-08
Business Address
BETHANY MARIE GRUBB PA
2001 VAIL AVE
CHARLOTTE, NC 28207-1248
Phone number: 704-304-6070
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Mailing Address
BETHANY MARIE GRUBB PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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