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1073816641
GRANT THOMAS JORDAN-TAYLOR
MINNEAPOLIS, MN
NPI
1073816641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN 86622)
Enumeration Date
2010-12-21
Last Update Date
2018-06-05
Business Address
GRANT THOMAS JORDAN-TAYLOR
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Phone number: 612-229-6713
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Mailing Address
GRANT THOMAS JORDAN-TAYLOR
8 VINCENT AVE S
MINNEAPOLIS, MN 55405-1952
Phone number: 612-229-6713
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