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1083906044
JONATHAN GRANTHAM
YERINGTON, NV
NPI
1083906044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-05-10
Last Update Date
2011-05-10
Business Address
-- JONATHAN GRANTHAM
100 ROSASCHI RD
YERINGTON, NV 89447-8722
Phone number: 775-463-5111
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Mailing Address
-- JONATHAN GRANTHAM
100 ROSASCHI RD
YERINGTON, NV 89447-8722
Phone number: 775-463-5111
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