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Individual

GREGORY ARCHIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1011 GOODRICH BLVD, COMMERCE, CA 90022-5102
(323) 888-9191
Mailing address
1011 GOODRICH BLVD, COMMERCE, CA 90022-5102
(323) 888-9191

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/12/2009
Last updated
08/12/2009
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