ANTELOPE VALLEY FAMILY HEALTH MEDICAL GROUP, INC
Marriage and Family Therapists at Avenue J, Lancaster, CA

License number
California G43124
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. GARY WILLIAM GRUBB M.D.
Title: CORPORATION PRESIDENT
Phone: (661) 945-0821
Address
Address
1672 W Avenue J SUITE 105, Lancaster, CA 93534
National Provider ID: 1346219268
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ANTELOPE VALLEY FAMILY HEALTH MEDICAL GROUP, INC

Lancaster, CA

Registration:
Jun 2, 1982
Addresses:
1672 W Ave J 105, Lancaster, CA 93534 (Physical)
1672 W Ave J, Lancaster, CA 93534
State ID:
C1074497
Business type:
Articles of Incorporation
President:
Gary W. Gubb (President)
Agent:
Gary W Gubb,Lancaster, CA 93534 (Physical)

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