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1164686515
KELLY MARIE GRANGER
TUSTIN, CA
NPI
1164686515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY28523)
Enumeration Date
2008-07-15
Last Update Date
2018-05-29
Business Address
Miss KELLY MARIE GRANGER Psy.D.
222 W MAIN ST STE 101
TUSTIN, CA 92780
Phone number: 949-381-1519
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Mailing Address
Miss KELLY MARIE GRANGER Psy.D.
222 W MAIN ST STE 101
TUSTIN, CA 92780-7711
Phone number: 949-381-1519
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