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1386371441
ADAM GRANNAN
INDIANAPOLIS, IN
NPI
1386371441
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 0514330A)
Enumeration Date
2022-08-08
Last Update Date
2022-08-08
Business Address
ADAM GRANNAN DPT
8721 KIPLING DR
INDIANAPOLIS, IN 46239-7964
Phone number: 812-403-0649
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Mailing Address
ADAM GRANNAN DPT
8721 KIPLING DR
INDIANAPOLIS, IN 46239-7964
Phone number: 812-403-0649
Copy
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