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1396372405
GRANT MCLEOD VAN DER VOORT
AURORA, CO
NPI
1396372405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CO TL.0007995)
Enumeration Date
2020-03-26
Last Update Date
2020-03-26
Business Address
GRANT MCLEOD VAN DER VOORT MD
12605 E 16TH AVE
AURORA, CO 80045-2545
Phone number: 720-848-0000
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Mailing Address
GRANT MCLEOD VAN DER VOORT MD
ACADEMIC OFFICE ONE BLDG., ROOM #5602 12631 EAST 17TH AVE., M/S C-319
AURORA, CO 80045
Phone number: 303-724-2715
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