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1124064548
JED D. GRANT
TULARE, CA
NPI
1124064548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA15317)
Enumeration Date
2006-06-22
Last Update Date
2011-02-14
Business Address
Mr. JED D. GRANT PA-C
869 NORTH CHERRY STREET
TULARE, CA 93274-2287
Phone number: 559-695-3450
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Mailing Address
Mr. JED D. GRANT PA-C
2550 NORTH HOLLYWOOD WAY SUITE 209
BURBANK, CA 91505-5019
Phone number: 818-557-0135
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