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1720464555
DAVID GRANGE
EVERETT, WA
NPI
1720464555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2015-08-04
Last Update Date
2015-08-04
Business Address
DAVID GRANGE
3322 BROADWAY
EVERETT, WA 98213
Phone number: 425-349-7481
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Mailing Address
DAVID GRANGE
P.O. BOX 3810
EVERETT, WA 98213
Phone number: 425-349-8359
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