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1386683852
MARK E GRANDON
LOUISVILLE, KY
NPI
1386683852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: KY PA155)
Enumeration Date
2006-06-06
Last Update Date
2016-07-09
Business Address
-- MARK E GRANDON PA-C
3 AUDUBON PLAZA DR SUITE 560
LOUISVILLE, KY 40217-1319
Phone number: 502-636-8004
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Mailing Address
-- MARK E GRANDON PA-C
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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