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1780777425
TRACY CANNON GRIKSCHEIT
LOS ANGELES, CA
NPI
1780777425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2086S0120X Surgery, Pediatric Surgery
(Licence: CA A96712)
Enumeration Date
2006-10-02
Last Update Date
2019-05-30
Business Address
TRACY CANNON GRIKSCHEIT M.D.
4650 SUNSET BLVD. MS# 100
LOS ANGELES, CA 90027-6062
Phone number: 323-669-2322
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Mailing Address
TRACY CANNON GRIKSCHEIT M.D.
6430 SUNSET BLVD. SUITE 600
LOS ANGELES, CA 90028-7900
Phone number: 323-669-2337
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