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1932179868
CHARLES GRENIER
SANTA CRUZ, CA
NPI
1932179868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA12491)
Enumeration Date
2006-01-24
Last Update Date
2007-07-08
Business Address
CHARLES GRENIER
2900 CHANTICLEER AVE
SANTA CRUZ, CA 95065-1816
Phone number: 831-477-2325
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Mailing Address
CHARLES GRENIER
PO BOX 1833
SANTA CRUZ, CA 95061-1833
Phone number:
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