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1205134426
JUSTIN MELVIN
GRASS VALLEY, CA
NPI
1205134426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-03-11
Last Update Date
2011-03-11
Business Address
-- JUSTIN MELVIN
500 CROWN POINT CIR SUITE 100
GRASS VALLEY, CA 95945-9514
Phone number: 530-273-5440
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Mailing Address
-- JUSTIN MELVIN
500 CROWN POINT CIR SUITE 100
GRASS VALLEY, CA 95945-9514
Phone number: 530-273-5440
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