GEORGE K GRANT

GROTON, CT
NPI1235469644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2010-01-06
Last Update Date2010-01-06
Business Address
Mr. GEORGE K GRANT IDC
195 MICHELLE LN APT 304
GROTON, CT 06340-4278
Phone number: 360-396-6789
Mailing Address
Mr. GEORGE K GRANT IDC
195 MICHELLE LN APT 304
GROTON, CT 06340-4278
Phone number: 360-396-6789
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