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1003017856
MEGAN D. GRANQUIST
GREENSBORO, NC
NPI
1003017856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NC 1210)
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
MEGAN D. GRANQUIST ATC, LAT
4407 CORNELL AVE
GREENSBORO, NC 27407-1703
Phone number: 253-208-3195
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Mailing Address
MEGAN D. GRANQUIST ATC, LAT
4407 CORNELL AVE
GREENSBORO, NC 27407-1703
Phone number: 253-208-3195
Copy
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