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Individual
MATTHEW ARNOLD GROVE
Active
Individual
MATTHEW ARNOLD GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC25061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0250610
BLUE SHIELD OF CA
CA
01
—
DC25061
BLUE CROSS OF CA
CA
Enumeration date
05/20/2006
Last updated
02/08/2011
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