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Individual
RALPH C GARRETT
Active
Individual
RALPH C GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0000104
MD
363AS0400X
Surgical Physician Assistant
Primary
C0000104
MD
Other
Enumeration date
07/03/2006
Last updated
05/06/2014
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