JUSTIN GRANT

WICHITA, KS
NPI1275913147
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: KS  94-08626)
Enumeration Date2015-06-04
Last Update Date2022-07-21
Business Address
-- JUSTIN GRANT D.O.
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-858-3460
Mailing Address
-- JUSTIN GRANT D.O.
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-858-3460
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