SARA T GRANVILLE

PIERRE, SD
NPI1457670366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SD  745)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2010-05-18
Last Update Date2012-04-13
Business Address
-- SARA T GRANVILLE PA
100 MAC LN AVERA MEDICAL GROUP PIERRE
PIERRE, SD 57501
Phone number: 605-945-5202
Mailing Address
-- SARA T GRANVILLE PA
100 MAC LN AVERA MEDICAL GROUP PIERRE
PIERRE, SD 57501
Phone number: 605-945-5202
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