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1841628724
TERRILL GRANT
LANCASTER, CA
NPI
1841628724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-10-31
Last Update Date
2013-10-31
Business Address
-- TERRILL GRANT
1055 W COLUMBIA WAY
LANCASTER, CA 93534-8155
Phone number: 661-951-8200
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Mailing Address
-- TERRILL GRANT
43419 PALM LN
LANCASTER, CA 93535-2937
Phone number:
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