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Individual

MR. GEORGE ANTHONY GALVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 445-7800
Mailing address
731 GALERITA ST, OXNARD, CA 93030-7348
(805) 612-1395

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Enumeration date
03/27/2007
Last updated
07/08/2007
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