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1346959913
BRUCE HUNTLY GRANT
CENTRALIA, WA
NPI
1346959913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-11-22
Last Update Date
2022-11-22
Business Address
BRUCE HUNTLY GRANT
3510 STEELHAMMER DR
CENTRALIA, WA 98531-4551
Phone number: 360-623-8020
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Mailing Address
BRUCE HUNTLY GRANT
3510 STEELHAMMER DR
CENTRALIA, WA 98531-4551
Phone number: 360-623-8020
Copy
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