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Organization

QUEST BIOFEEDBACK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY GRANT SWANSON CBS, CPMS,CSMS (CEO/PRESIDENT)
(949) 525-3254
Entity
Organization

Contact information

Practice address
27001 LA PAZ RD, SUITE 336, MISSION VIEJO, CA 92691-5502
(949) 525-3254
(949) 888-6260
Mailing address
5 GINGHAM ST, TRABUCO CANYON, CA 92679-5320
(949) 525-3254
(949) 888-6260

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary

Other

Enumeration date
03/04/2009
Last updated
06/11/2009
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