JEFFERY GRANT TAYLOR

FORT LEONARD WOOD, MO
NPI1366773376
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  1091583)
Enumeration Date2010-01-15
Last Update Date2010-01-15
Business Address
-- JEFFERY GRANT TAYLOR MPAS, PA-C
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-1509
Mailing Address
-- JEFFERY GRANT TAYLOR MPAS, PA-C
6 HUMPHREYS ST
FORT LEONARD WOOD, MO 65473-1402
Phone number: 719-352-5383
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