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1669677902
ANDRE JULIAN GRIGGS
MODESTO, CA
NPI
1669677902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
Mr. ANDRE JULIAN GRIGGS
103 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-527-4597
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Mailing Address
Mr. ANDRE JULIAN GRIGGS
103 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-527-4597
Copy
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