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1114770088
JOSEPH GRAY
WOODLAND, CA
NPI
1114770088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: CA MPSS-NIDMLU)
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
JOSEPH GRAY Peer Support Special
215 W BEAMER ST
WOODLAND, CA 95695-2510
Phone number: 530-759-3136
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Mailing Address
JOSEPH GRAY Peer Support Special
3939 MADISON AVE APT 256
NORTH HIGHLANDS, CA 95660-6319
Phone number: 530-908-1507
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