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1912641911
GRANT MICHAEL GOODWIN
LONG BEACH, CA
NPI
1912641911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA APCC10930)
Enumeration Date
2022-04-25
Last Update Date
2022-04-25
Business Address
GRANT MICHAEL GOODWIN
1501 HUGHES WAY STE 150
LONG BEACH, CA 90810-1878
Phone number: 310-221-6336
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Mailing Address
GRANT MICHAEL GOODWIN
1501 HUGHES WAY STE 150
LONG BEACH, CA 90810-1878
Phone number: 310-221-6336
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