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1073920005
KRISTA GRANTHAM
SAN ANTONIO, TX
NPI
1073920005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2014-07-22
Last Update Date
2019-02-07
Business Address
KRISTA GRANTHAM PA
14603 HUEBNER RD STE 28101
SAN ANTONIO, TX 78230-5497
Phone number: 210-614-7074
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Mailing Address
KRISTA GRANTHAM PA
14603 HUEBNER ROAD STE 28101 BLDG. 28
SAN ANTONIO, TX 78230-0546
Phone number: 210-614-7074
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