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1538711049
NAKISHA LAVON GRANT
LAKE ELSINORE, CA
NPI
1538711049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 98955)
Enumeration Date
2019-07-15
Last Update Date
2019-07-15
Business Address
NAKISHA LAVON GRANT
31772 CASINO DR STE A&B
LAKE ELSINORE, CA 92530-4502
Phone number: 951-674-9400
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Mailing Address
NAKISHA LAVON GRANT
31772 CASINO DR STE A&B
LAKE ELSINORE, CA 92530-4502
Phone number: 951-674-9400
Copy
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