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1699846709
EDWARD GRANT SHORE
VAN NUYS, CA
NPI
1699846709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: CA G7953)
Enumeration Date
2006-11-11
Last Update Date
2007-07-08
Business Address
Dr. EDWARD GRANT SHORE MD
15243 VANOWEN ST STE 412
VAN NUYS, CA 91405-3662
Phone number: 818-783-4800
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Mailing Address
Dr. EDWARD GRANT SHORE MD
4139 CAMINO DE LA CUMBRE
SHERMAN OAKS, CA 91423-4023
Phone number: 818-789-7032
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