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Organization
GRACE HUNTER DO INC
Active
Organization
GRACE HUNTER DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE HUNTER DO (PRESIDENT)
(949) 588-2190
Entity
Organization
Contact information
Practice address
23331 EL TORO RD STE 102, LAKE FOREST, CA 92630-4809
(949) 916-9100
(949) 916-0091
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A8304
CA
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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