ORANGE VALLEY PODIATRY GROUP
Podiatry at Johnson St, Visalia, CA

License number
California E4724
Category
Podiatry
Type
Podiatrist
Owner
Name: VICTOR K GRANDT DPM
Title: OWNER/ PHYSICIAN
Phone: (559) 734-1171
Address
Address
308 S Johnson St, Visalia, CA 93291
National Provider ID: 1740513753
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ORANGE VALLEY PODIATRY GROUP

308 S Johnson St, Visalia, CA 93291

Status:
Inactive
Registration:
Aug 12, 2008
State ID:
C3130566
Business type:
Articles of Incorporation
President:
Victor Kimball Grandt President, inactive
Agent:
Santiago B Sabillo,Los Angeles, CA 90010 (Physical)

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