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1538533419
SHANNON GRAY
DESERT HOT SPRINGS, CA
NPI
1538533419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R38901214)
Enumeration Date
2015-11-16
Last Update Date
2015-11-16
Business Address
-- SHANNON GRAY
12890 QUINTA WAY
DESERT HOT SPRINGS, CA 92240-4852
Phone number: 760-329-2959
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Mailing Address
-- SHANNON GRAY
12890 QUINTA WAY
DESERT HOT SPRINGS, CA 92240-4852
Phone number:
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