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GRANVILLE LEE

Counselor

NPI: 1295242717Individual

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

Contact & Hours

Address
167 S 4TH ST
FULTON, NY 13069

Quick Facts

NPI
1295242717
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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