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Individual

RUSSELL GROENHEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9680 CITRUS AVE, FONTANA, CA 92335-5571
(909) 357-5000
(909) 357-7699
Mailing address
9680 CITRUS AVE, FONTANA, CA 92335-5571
(909) 357-5000
(909) 357-7699

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
170247625
CA

Other

Enumeration date
11/03/2025
Last updated
11/03/2025
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