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1144955790
GRANT SEVERS
QUINCY, IL
NPI
1144955790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL 021.003157)
Enumeration Date
2022-07-18
Last Update Date
2023-11-08
Business Address
Dr. GRANT SEVERS DMD MS
3915 MAINE ST STE 2
QUINCY, IL 62305-5843
Phone number: 217-919-5008
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Mailing Address
Dr. GRANT SEVERS DMD MS
200 N 30TH ST
QUINCY, IL 62301-3737
Phone number:
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