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1497848741
KENNETH JOHN GRANT
ALBUQUERQUE, NM
NPI
1497848741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NM 80-163)
Enumeration Date
2006-10-01
Last Update Date
2007-07-08
Business Address
Dr. KENNETH JOHN GRANT M.D.
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-265-1711
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Mailing Address
Dr. KENNETH JOHN GRANT M.D.
5555 ZUNI RD SE # 275
ALBUQUERQUE, NM 87108-2942
Phone number: 505-265-1711
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