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1023148863
KEVIN JOSEPH GRANGER
ALBUQUERQUE, NM
NPI
1023148863
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Other Name
KEVIN JOSEPH GRANGER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NM A-160)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
-- KEVIN JOSEPH GRANGER P.T. A.
4308 CARLISLE BLVD, NE SUITE 209
ALBUQUERQUE, NM 87107
Phone number: 505-828-0232
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Mailing Address
-- KEVIN JOSEPH GRANGER P.T. A.
7 JUNIPER PL
LOS LUNAS, NM 87031-5781
Phone number: 505-261-5943
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