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1083161848
MICHAEL GRANT
SAN FRANCISCO, CA
NPI
1083161848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2016-09-08
Last Update Date
2016-09-08
Business Address
Mr. MICHAEL GRANT
1601 QUESADA AVE
SAN FRANCISCO, CA 94124-2334
Phone number: 415-822-5977
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Mailing Address
Mr. MICHAEL GRANT
1601 QUESADA AVE
SAN FRANCISCO, CA 94124-2334
Phone number: 415-822-5977
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