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1255767901
GRANT GAVER
SAN LEANDRO, CA
NPI
1255767901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2013-09-25
Last Update Date
2015-04-13
Business Address
-- GRANT GAVER
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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Mailing Address
-- GRANT GAVER
2275 ARLINGTON DR.
SAN LEANDRO, CA 94578
Phone number:
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