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1669724084
MICHELLE GRAPES
CAMARILLO, CA
NPI
1669724084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-10-09
Last Update Date
2012-10-09
Business Address
-- MICHELLE GRAPES
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-642-7033
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Mailing Address
-- MICHELLE GRAPES
2504 SEAMIST CT
PORT HUENEME, CA 93041-2100
Phone number: 805-642-7033
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