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1710248745
INGRID GAYE GROVE
FOLSOM, CA
NPI
1710248745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A12235)
Enumeration Date
2012-06-06
Last Update Date
2016-08-05
Business Address
-- INGRID GAYE GROVE D.O.
2575 E BIDWELL ST STE 100
FOLSOM, CA 95630-6445
Phone number: 916-817-3700
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Mailing Address
-- INGRID GAYE GROVE D.O.
PO BOX 255228
SACRAMENTO, CA 95865-5228
Phone number: 800-470-0071
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