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1205435351
MELINDA O HARGRAVES
GRASS VALLEY, CA
NPI
1205435351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1406100920)
Enumeration Date
2020-10-20
Last Update Date
2020-10-20
Business Address
MELINDA O HARGRAVES RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-273-1140
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Mailing Address
MELINDA O HARGRAVES RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-273-1140
Copy
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