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1104507599
MARK TERRENCE MCGRUDER
HEMET, CA
NPI
1104507599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
MARK TERRENCE MCGRUDER
950 N STATE ST STE E
HEMET, CA 92543-1485
Phone number: 951-683-6596
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Mailing Address
MARK TERRENCE MCGRUDER
5870 ARLINGTON AVE
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6596
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