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1265414130
RAY GRIJALVA
SANTA ANA, CA
NPI
1265414130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA 10355)
Enumeration Date
2005-11-16
Last Update Date
2011-06-28
Business Address
Mr. RAY GRIJALVA PA
1212 W 17TH ST
SANTA ANA, CA 92706-3418
Phone number: 714-954-0432
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Mailing Address
Mr. RAY GRIJALVA PA
2742 DOW AVE
TUSTIN, CA 92780-7242
Phone number: 714-665-1600
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