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Individual

MICHALENE MARIE GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
10 PEMBROOK CT APT E, PITTSBURGH, PA 15239-2765
(412) 849-3513
Mailing address
10 PEMBROOK CT APT E, PITTSBURGH, PA 15239-2765
(412) 849-3513

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA059131
PA
363AS0400X
Surgical Physician Assistant
Primary
PA15945
TX

Other

Enumeration date
07/11/2017
Last updated
02/21/2024
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