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1003519463
IRVIN GRANSTROM
LAS VEGAS, NV
NPI
1003519463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2023-03-24
Last Update Date
2023-03-24
Business Address
IRVIN GRANSTROM
3680 N RANCHO DR
LAS VEGAS, NV 89130-3180
Phone number: 702-646-5437
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Mailing Address
IRVIN GRANSTROM
3680 N RANCHO DR
LAS VEGAS, NV 89130-3180
Phone number:
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