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1023849049
MARC DANIEL GRANDE
PHILADELPHIA, PA
NPI
1023849049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
MARC DANIEL GRANDE
7164 RIDGE AVE STE 17A
PHILADELPHIA, PA 19128-3250
Phone number: 267-748-2430
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Mailing Address
MARC DANIEL GRANDE
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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