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1417016668
MARK TIMOTHY GRANT
MARIETTA, GA
NPI
1417016668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: GA CHIR002949)
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
Dr. MARK TIMOTHY GRANT D.C.
803 POWDER SPRINGS ST STE 10
MARIETTA, GA 30064-3649
Phone number: 770-419-8691
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Mailing Address
Dr. MARK TIMOTHY GRANT D.C.
803 POWDER SPRINGS ST STE 10
MARIETTA, GA 30064-3649
Phone number: 770-419-8691
Copy
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