EDWARD M. GRANT

SANTA FE, NM
NPI1417031980
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  2001PA42)
Enumeration Date2006-10-24
Last Update Date2007-07-08
Business Address
-- EDWARD M. GRANT P.A.
401 BOTULPH LN
SANTA FE, NM 87505-6912
Phone number: 505-983-8387
Mailing Address
-- EDWARD M. GRANT P.A.
401 BOTULPH LN
SANTA FE, NM 87505-6912
Phone number: 505-983-8387
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