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1386347581
MARTIN LARRY GRANADOS
VISALIA, CA
NPI
1386347581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-24
Last Update Date
2023-04-08
Business Address
MARTIN LARRY GRANADOS
400 W MINERAL KING AVE
VISALIA, CA 93291-6237
Phone number: 559-624-2000
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Mailing Address
MARTIN LARRY GRANADOS
400 W MINERAL KING AVE
VISALIA, CA 93291-6237
Phone number: 559-624-2000
Copy
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