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Individual

NATHANIEL GRANGER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7400 E ARAPAHOE RD, SUITE 212, CENTENNIAL, CO 80112-1279
(303) 741-1077
Mailing address
8940 MELBOURNE DR, COLORADO SPRINGS, CO 80920-7234

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11274
CO

Other

Enumeration date
01/10/2012
Last updated
01/10/2012
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