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1174963714
RUSSELL CHRIS GROOM
GRASS VALLEY, CA
NPI
1174963714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2013-06-27
Last Update Date
2023-05-10
Business Address
Dr. RUSSELL CHRIS GROOM PsyD
12436 BEAVER DR
GRASS VALLEY, CA 95945-8440
Phone number: 510-908-3733
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Mailing Address
Dr. RUSSELL CHRIS GROOM PsyD
12436 BEAVER DR
GRASS VALLEY, CA 95945-8440
Phone number: 510-908-3733
Copy
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