JUAN CARLOS GRANADOS

FORT WORTH, TX
NPI1134460314
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: TX  SA00889)
Additional Taxonomies246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: CO  139944)
Enumeration Date2013-03-12
Last Update Date2022-06-27
Business Address
JUAN CARLOS GRANADOS LSA
5808 MANHATTAN DR
FORT WORTH, TX 76107-7613
Phone number: 214-227-2457
Mailing Address
JUAN CARLOS GRANADOS LSA
PO BOX 2550
ROWLETT, TX 75030-2550
Phone number: 214-227-2457
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