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1013777978
GRANT ETHAN KOLSKY
PHILADELPHIA, PA
NPI
1013777978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
GRANT ETHAN KOLSKY DPM
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 516-710-2645
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Mailing Address
GRANT ETHAN KOLSKY DPM
531 E 20TH ST APT 4A
NEW YORK, NY 10010-7607
Phone number: 516-710-2645
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