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1558498089
GRANT LAVIGNA
CAMARILLO, CA
NPI
1558498089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 46649)
Enumeration Date
2007-02-28
Last Update Date
2012-03-08
Business Address
-- GRANT LAVIGNA LMFT
155 GRANADA ST SUITE N
CAMARILLO, CA 93010-7866
Phone number: 805-987-3162
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Mailing Address
-- GRANT LAVIGNA LMFT
155 GRANADA ST SUITE N
CAMARILLO, CA 93010-7866
Phone number: 805-987-3162
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