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1194765826
AUDREY LOUISE GRANT
PORTSMOUTH, VA
NPI
1194765826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: VA 0101043829)
Enumeration Date
2006-06-08
Last Update Date
2007-11-07
Business Address
-- AUDREY LOUISE GRANT M.D.
3636 HIGH ST
PORTSMOUTH, VA 23707-3236
Phone number: 757-398-2200
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Mailing Address
-- AUDREY LOUISE GRANT M.D.
PO BOX 634706
CINCINNATI, OH 45263-0001
Phone number: 865-292-3000
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