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Individual

CHARLES ALEXANDRE GREENER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2141 N HARBOR BLVD STE 35000, FULLERTON, CA 92835-3831
(714) 626-8657
(714) 626-8686
Mailing address
6 THE MEWS SOUTH 7TH ST, GENEVA, IL 60134-2629
(224) 523-2913

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
10/23/2018
Last updated
09/25/2019
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