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1417509878
BRANDON J GRANT
NORWALK, CA
NPI
1417509878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95012207)
Enumeration Date
2019-07-15
Last Update Date
2019-10-21
Business Address
BRANDON J GRANT
12440 FIRESTONE BLVD
NORWALK, CA 90650-4328
Phone number: 562-864-7821
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Mailing Address
BRANDON J GRANT
12440 FIRESTONE BLVD
NORWALK, CA 90650-4328
Phone number: 562-864-7821
Copy
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