LANDON KELLY GRANGE

BOISE, ID
NPI1043620255
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: ID  M14219)
Enumeration Date2014-04-28
Last Update Date2018-07-26
Business Address
LANDON KELLY GRANGE M.D.
5680 W GAGE ST
BOISE, ID 83706
Phone number: 208-773-3937
Mailing Address
LANDON KELLY GRANGE M.D.
3867 MIRAMAR ST APARTMENT G
LA JOLLA, CA 92037-1312
Phone number: 208-559-6893
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