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1417466749
GRANT AUSTIN
OAKWOOD, GA
NPI
1417466749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224L00000X Pedorthist
(Licence: GA CPed2311)
Enumeration Date
2017-09-29
Last Update Date
2017-09-29
Business Address
GRANT AUSTIN CPed
5035 FLORENCE ST
OAKWOOD, GA 30566-2646
Phone number: 770-539-9474
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Mailing Address
GRANT AUSTIN CPed
14 BROOKS DR
ORMOND BEACH, FL 32176-3722
Phone number: 386-236-9672
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