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1013310580
JONATHAN GRANT
FORT STEWART, GA
NPI
1013310580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: TX E1547812)
Enumeration Date
2014-09-29
Last Update Date
2014-09-29
Business Address
JONATHAN GRANT
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-5995
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Mailing Address
JONATHAN GRANT
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-5995
Copy
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