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1003810888
WILSON WAYNE GRANT
SAN ANTONIO, TX
NPI
1003810888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
208000000X Pediatrics
(Licence: TX D3243)
Enumeration Date
2005-06-09
Last Update Date
2007-07-09
Business Address
DR. WILSON WAYNE GRANT M.D.
5282 MEDICAL DR STE 310
SAN ANTONIO, TX 78229-6044
Phone number: 210-614-8687
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Mailing Address
DR. WILSON WAYNE GRANT M.D.
5282 MEDICAL DR STE 310
SAN ANTONIO, TX 78229-6044
Phone number: 210-614-8687
Copy
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