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1174151369
GRANT BREELAND
DALLAS, TX
NPI
1174151369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-01
Last Update Date
2020-04-01
Business Address
GRANT BREELAND MD
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number: 214-820-2361
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Mailing Address
GRANT BREELAND MD
754 UNADILLA ST
SHREVEPORT, LA 71106-1244
Phone number: 225-223-7315
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