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1164464327
ERICH J GRANT
WINSTON SALEM, NC
NPI
1164464327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 0010-00193)
Enumeration Date
2006-06-12
Last Update Date
2009-03-24
Business Address
-- ERICH J GRANT PA
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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Mailing Address
-- ERICH J GRANT PA
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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