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1114037579
CAROL LUISA GRANT-DOUGHERTY
LANCASTER, CA
NPI
1114037579
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Former Name
CAROL LUISA GRANT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA11959)
Enumeration Date
2006-08-30
Last Update Date
2008-09-05
Business Address
Ms. CAROL LUISA GRANT-DOUGHERTY P.A.
43839 15TH ST W
LANCASTER, CA 93534-4756
Phone number: 661-945-5984
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Mailing Address
Ms. CAROL LUISA GRANT-DOUGHERTY P.A.
PO BOX 7007
LANCASTER, CA 93539-7007
Phone number: 661-945-5984
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