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1407045719
SUSAN LOUISE GRAY
SAN JACINTO, CA
NPI
1407045719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA VN149539)
Enumeration Date
2007-10-23
Last Update Date
2007-10-23
Business Address
-- SUSAN LOUISE GRAY LVN
102 W MAIN ST
SAN JACINTO, CA 92583-4121
Phone number: 951-487-8376
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Mailing Address
-- SUSAN LOUISE GRAY LVN
102 W MAIN ST
SAN JACINTO, CA 92583-4121
Phone number: 951-487-8376
Copy
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