1780723304

Everything you always wanted to know about MR. GRENEMAN GERALD but were afraid to ask.

MR. GRENEMAN GERALD

You can also download the this 1780723304 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider First Name
MR. GRENEMAN GERALD
Gender:
Male
Enumeration date:
2007-02-06
Last update date:
2007-07-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
225400000X Rehabilitation Practitioner none none Y

Phone Numbers

Type Number
Mailing Address Telephone Number 6264032794
Practice Location Address Telephone Number 6264032794

Addresses

Type Address City State Postal Country
Mailing Address 1020 S ARROYO PKWY PASADENA CA 0 CA
Practice Location Address 1020 S ARROYO PKWY PASADENA CA 0 CA

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