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1326441213
GRANT ANDERSON
GARY, IN
NPI
1326441213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343800000X Secured Medical Transport (VAN)
(Licence: IN 0550-22-9431)
Enumeration Date
2014-10-06
Last Update Date
2014-10-06
Business Address
-- GRANT ANDERSON
4353 KENTUCKY ST
GARY, IN 46409-2339
Phone number: 219-677-7668
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Mailing Address
-- GRANT ANDERSON
4353 KENTUCKY ST
GARY, IN 46409-2339
Phone number: 219-677-7668
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