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1902253610
ROBERT K OMOGROSSO
GRASS VALLEY, CA
NPI
1902253610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A15941)
Enumeration Date
2016-05-23
Last Update Date
2021-06-26
Business Address
ROBERT K OMOGROSSO DO
155 GLASSON WAY
GRASS VALLEY, CA 95945-5723
Phone number: 530-274-6761
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Mailing Address
ROBERT K OMOGROSSO DO
155 GLASSON WAY
GRASS VALLEY, CA 95945-5723
Phone number: 530-274-6761
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