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1891029005
KELLY MINER-GANN
GRASS VALLEY, CA
NPI
1891029005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-09-22
Last Update Date
2018-03-13
Business Address
KELLY MINER-GANN
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945-8524
Phone number: 530-273-4984
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Mailing Address
KELLY MINER-GANN
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945-8524
Phone number: 530-273-4984
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