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1871734756
MARISSA ILENE GRAN
SAN DIEGO, CA
NPI
1871734756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY33066)
Enumeration Date
2009-03-23
Last Update Date
2022-12-07
Business Address
Dr. MARISSA ILENE GRAN PhD
1940 GARNET AVE STE 100
SAN DIEGO, CA 92109-3575
Phone number: 619-500-2104
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Mailing Address
Dr. MARISSA ILENE GRAN PhD
3525 DEL MAR HEIGHTS RD # 115
SAN DIEGO, CA 92130-2199
Phone number: 619-500-2104
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