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Individual

MRS. GLORIA J CALVILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12219 2ND AVE, VICTORVILLE, CA 92395-5770
(760) 955-5826
Mailing address
12219 2ND AVE, VICTORVILLE, CA 92395-5770
(760) 955-5826

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
02/06/2007
Last updated
07/08/2007
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