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Individual

GRACE KLEA ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
24321 COUNTY ROAD 96, DAVIS, CA 95616-9532
(530) 753-1653
Mailing address
1836 DUNLAP PL, WOODLAND, CA 95776-5454
(530) 306-2272

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
12/01/2025
Last updated
12/01/2025
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