MARK CHARLES GRANT

LA PORTE, IN
NPI1477730141
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: IN  08001545)
Enumeration Date2008-01-24
Last Update Date2008-01-24
Business Address
Dr. MARK CHARLES GRANT
451 PINE LAKE AVE
LA PORTE, IN 46350-2314
Phone number: 219-362-3766
Mailing Address
Dr. MARK CHARLES GRANT
451 PINE LAKE AVE
LA PORTE, IN 46350-2314
Phone number:
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