RICHARD LOCKE GRANT

PEORIA, IL
NPI1174623433
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084F0202X Psychiatry & Neurology, Forensic Psychiatry
(Licence: IL  036-066475)
Enumeration Date2006-09-25
Last Update Date2009-01-19
Business Address
-- RICHARD LOCKE GRANT M.D.
709 TOWNES COURT
PEORIA, IL 61615-1387
Phone number: 309-692-5550
Mailing Address
-- RICHARD LOCKE GRANT M.D.
709 TOWNES COURT
PEORIA, IL 61615-1387
Phone number: 309-692-5550
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