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1548926975
VVIRGINIA A GRANADOS
SAN JOSE, CA
NPI
1548926975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 1443720921)
Enumeration Date
2021-11-10
Last Update Date
2021-11-10
Business Address
VVIRGINIA A GRANADOS RADT-1
9505 MALECH DR
SAN JOSE, CA 95138-2002
Phone number: 408-282-6570
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Mailing Address
VVIRGINIA A GRANADOS RADT-1
9505 MALECH DR
SAN JOSE, CA 95138-2002
Phone number: 408-282-6570
Copy
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