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1518497452
GABRIEL JUSTIN GROOM
EUREKA, CA
NPI
1518497452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95119299)
Enumeration Date
2017-06-14
Last Update Date
2017-06-14
Business Address
GABRIEL JUSTIN GROOM RN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
GABRIEL JUSTIN GROOM RN
280 ALDERGROVE RD
ARCATA, CA 95521-8902
Phone number: 707-845-6735
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