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Individual

GREWEN BAYOT PALOMERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1710 CHURN CREEK ROAD, REDDING, CA 96002
(530) 226-0310
(530) 226-0326
Mailing address
PO BOX 992170, REDDING, CA 96099-2170
(530) 226-0310
(530) 226-0326

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2004-0264
NM
208D00000X
General Practice Physician
Primary
A99282
CA

Other

Enumeration date
02/06/2007
Last updated
04/02/2010
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