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1699234922
MICHAEL GRANT
ESCONDIDO, CA
NPI
1699234922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci09420917)
Enumeration Date
2019-03-16
Last Update Date
2019-03-17
Business Address
MICHAEL GRANT CADC-I
737 E GRAND AVE
ESCONDIDO, CA 92025-4404
Phone number: 760-745-8478
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Mailing Address
MICHAEL GRANT CADC-I
737 E GRAND AVE
ESCONDIDO, CA 92025-4404
Phone number: 760-745-8478
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