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1144864091
MARILYN JEAN GRANDBERRY
BELLFLOWER, CA
NPI
1144864091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-11-04
Last Update Date
2019-11-04
Business Address
MARILYN JEAN GRANDBERRY
16314 CORNUTA AVE
BELLFLOWER, CA 90706-4814
Phone number: 562-461-9272
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Mailing Address
MARILYN JEAN GRANDBERRY
16314 CORNUTA AVE
BELLFLOWER, CA 90706-4814
Phone number: 562-461-9272
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