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1538644729
LARISA IVETA GRANTS
LAFAYETTE, IN
NPI
1538644729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05013118A)
Enumeration Date
2018-10-03
Last Update Date
2018-10-03
Business Address
Dr. LARISA IVETA GRANTS PT, DPT
1701 S CREASY LN
LAFAYETTE, IN 47905-4972
Phone number: 765-502-4000
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Mailing Address
Dr. LARISA IVETA GRANTS PT, DPT
2202 RAYMOND DR APT A3
LAFAYETTE, IN 47909-8328
Phone number:
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