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1376822957
ROLAND C GANT
LYNWOOD, CA
NPI
1376822957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-08-12
Last Update Date
2011-08-12
Business Address
-- ROLAND C GANT B.S.
3737 MARTIN LUTHER KING JR BLVD # 421
LYNWOOD, CA 90262-3513
Phone number: 424-250-5494
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Mailing Address
-- ROLAND C GANT B.S.
255 W 5TH ST # 220
SAN PEDRO, CA 90731-3388
Phone number: 424-250-5494
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