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1497771802
MARK A LAGRAVE
SACRAMENTO, CA
NPI
1497771802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A92383)
Enumeration Date
2006-07-15
Last Update Date
2022-02-11
Business Address
Dr. MARK A LAGRAVE MD
4150 V ST PSSB 2100
SACRAMENTO, CA 95817-1460
Phone number: 916-734-8571
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Mailing Address
Dr. MARK A LAGRAVE MD
4150 V ST PSSB 2100
SACRAMENTO, CA 95817-1460
Phone number: 916-734-8571
Copy
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