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Individual

KEELEY NICOLE GRAYBEHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PPSC

Contact information

Practice address
145 MOUNTAIN VIEW BLVD, LOMPOC, CA 93437
(805) 742-2735
Mailing address
1255 KENDALL RD, SAN LUIS OBISPO, CA 93401-8750

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
240104773
CA

Other

Enumeration date
08/04/2017
Last updated
06/06/2025
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