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1710111547
RONALD GENE CORUM LL
GRASS VALLEY, CA
NPI
1710111547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
2009-05-07
Last Update Date
2009-05-07
Business Address
RONALD GENE CORUM LL
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
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Mailing Address
RONALD GENE CORUM LL
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
Copy
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