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1366911265
ADDISON GRANT MARSHALL
SAN ANTONIO, TX
NPI
1366911265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA12539)
Enumeration Date
2018-11-20
Last Update Date
2019-05-24
Business Address
ADDISON GRANT MARSHALL
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Phone number: 210-358-4000
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Mailing Address
ADDISON GRANT MARSHALL
4502 MEDICAL DR
SAN ANTONIO, TX 78229-4402
Phone number: 210-358-4000
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