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1245785732
SHO GRANT
GLENDALE, AZ
NPI
1245785732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-08-24
Last Update Date
2016-09-08
Business Address
SHO GRANT
5750 W THUNDERBIRD RD STE B200
GLENDALE, AZ 85306-4664
Phone number: 602-375-1700
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Mailing Address
SHO GRANT
5750 W THUNDERBIRD RD SUITE B200
GLENDALE, AZ 85306-4660
Phone number: 602-375-1700
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