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1265938419
EARNEST GLENN GRAYSON
LONG BEACH, CA
NPI
1265938419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-04-04
Last Update Date
2018-04-04
Business Address
EARNEST GLENN GRAYSON
514 W PACIFIC COAST HWY
LONG BEACH, CA 90806-5237
Phone number: 562-432-0713
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Mailing Address
EARNEST GLENN GRAYSON
514 W PACIFIC COAST HWY
LONG BEACH, CA 90806-5237
Phone number: 562-432-0713
Copy
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