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1447664099
THOMAS M GRANEY
SPRINGFIELD, IL
NPI
1447664099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085005042)
Enumeration Date
2014-06-11
Last Update Date
2022-03-30
Business Address
THOMAS M GRANEY PA-C
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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Mailing Address
THOMAS M GRANEY PA-C
2713 MEADOW POINTE DR
SPRINGFIELD, IL 62702-3356
Phone number: 217-836-6391
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