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1154414225
KENNETH E. GRANT
ORANGE, CA
NPI
1154414225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: CA G60289)
Enumeration Date
2006-10-02
Last Update Date
2014-01-30
Business Address
-- KENNETH E. GRANT M.D.
1201 W LA VETA AVE
ORANGE, CA 92868-4203
Phone number: 714-509-4099
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Mailing Address
-- KENNETH E. GRANT M.D.
1201 W LA VETA AVE
ORANGE, CA 92868-4203
Phone number: 714-509-4099
Copy
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