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1801974977
KENNETH E. GRULLON
ANTIOCH, CA
NPI
1801974977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: CA G76376)
Enumeration Date
2006-11-02
Last Update Date
2021-12-17
Business Address
KENNETH E. GRULLON MD
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509-4004
Phone number: 925-779-5000
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Mailing Address
KENNETH E. GRULLON MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3466
Phone number: 510-625-6262
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