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Individual

FRANCISCO ROBERTO GRANDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
5930 ADOBE RD, TWENTYNINE PALMS, CA 92277-2356
(760) 367-1743
Mailing address
619 E AVENUE J9, LANCASTER, CA 93535-4181
(313) 543-6164

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTA50629
CA

Other

Enumeration date
08/05/2020
Last updated
08/05/2020
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