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1003862939
PHILLIP D GRANGER
VIRGINIA BEACH, VA
NPI
1003862939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110001146)
Enumeration Date
2006-05-25
Last Update Date
2021-06-23
Business Address
PHILLIP D GRANGER PA-C
3432 HOLLAND RD
VIRGINIA BEACH, VA 23452-4846
Phone number: 757-468-1855
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Mailing Address
PHILLIP D GRANGER PA-C
5000 COX RD
GLEN ALLEN, VA 23060-9263
Phone number: 804-968-5700
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