MARK RAYMOND GRUESBECK

SAN FRANCISCO, CA
NPI1619032380
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ  0660)
Enumeration Date2006-12-23
Last Update Date2007-07-08
Business Address
-- MARK RAYMOND GRUESBECK ATC
24 WILLIE MAYS PLZ
SAN FRANCISCO, CA 94107-2134
Phone number: 415-972-1633
Mailing Address
-- MARK RAYMOND GRUESBECK ATC
8829 E FAIRBROOK ST
MESA, AZ 85207-5117
Phone number: 480-986-4620
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