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Individual

MR. G JAMES J G GRUVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
415 N STATE COLLEGE BLVD, ADP MEDICAL GROUP, ANAHEIM, CA 92806
(714) 758-1175
Mailing address
415 N STATE COLLEGE BLVD, ANAHEIM, CA 92806
(714) 758-1175
(714) 758-9201

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY13875
CA

Other

Enumeration date
02/13/2007
Last updated
05/06/2008
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