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1588111322
DAVID GRANADOS LUA
MERCED, CA
NPI
1588111322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-09-09
Last Update Date
2016-09-09
Business Address
-- DAVID GRANADOS LUA
300 E 15TH ST
MERCED, CA 95341-6217
Phone number: 209-381-6879
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Mailing Address
-- DAVID GRANADOS LUA
PO BOX 2087
MERCED, CA 95344-0087
Phone number: 209-381-6879
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