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1215674379
GRANT WAYNE OVERMIRE
LOS ANGELES, CA
NPI
1215674379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 125891)
Enumeration Date
2022-05-18
Last Update Date
2022-05-18
Business Address
Mr. GRANT WAYNE OVERMIRE LMFT
2001 S BARRINGTON AVE
LOS ANGELES, CA 90025-5363
Phone number: 310-720-0983
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Mailing Address
Mr. GRANT WAYNE OVERMIRE LMFT
2118 WILSHIRE BLVD # 172
SANTA MONICA, CA 90403-5704
Phone number: 310-720-0983
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