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1518279595
JOEL MARK GRISHAM
RANCHO CUCAMONGA, CA
NPI
1518279595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: CA C39296)
Enumeration Date
2010-07-08
Last Update Date
2010-07-08
Business Address
DR. JOEL MARK GRISHAM M.D.
10837 LAUREL ST 101
RANCHO CUCAMONGA, CA 91730-7643
Phone number: 562-208-1600
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Mailing Address
DR. JOEL MARK GRISHAM M.D.
5209 WESTLEIGH AVE
LAS VEGAS, NV 89146-3326
Phone number: 702-878-9665
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