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1447967856
JEFFREY GRISHAM
CORCORAN, CA
NPI
1447967856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-11-04
Last Update Date
2022-11-04
Business Address
JEFFREY GRISHAM PSYD
CA SUBSTANCE ABUSE TREATMENT FACILITY & STATE PRISION 900 QUEBEC AVENUE
CORCORAN, CA 93212-9321
Phone number: 559-992-7100
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Mailing Address
JEFFREY GRISHAM PSYD
PO BOX 125
CORCORAN, CA 93212-0125
Phone number: 209-581-1779
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