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Individual

BRUCE HARRY GARBETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.C.

Contact information

Practice address
24331 EL TORO RD, 330, LAGUNA WOODS, CA 92637-2752
(949) 707-1870
(949) 707-1874
Mailing address
2231 PACIFIC AVE, B-2, COSTA MESA, CA 92627-4887
(949) 275-1970
(949) 645-9051

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
CA11636
CA

Other

Enumeration date
04/22/2007
Last updated
07/08/2007
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