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Organization
LWBBA GRISSELL CHAIT LLAMAS MD INC
Active
Organization
LWBBA GRISSELL CHAIT LLAMAS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LWBBA GRISSELL CHAIT LLAMAS MD (OWNER)
(760) 351-3333
Entity
Organization
Contact information
Practice address
751 W LEGION RD, SUITE 103, BRAWLEY, CA 92227-7732
(760) 351-4100
(760) 351-4101
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A138938
CA
Other
Enumeration date
02/08/2017
Last updated
03/30/2017
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