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1548351034
DAVID GLENN GRANT
JOPLIN, MO
NPI
1548351034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MO To2953)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
Dr. DAVID GLENN GRANT O.D.
1501 S RANGE LINE RD
JOPLIN, MO 64804-3230
Phone number: 417-781-7010
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Mailing Address
Dr. DAVID GLENN GRANT O.D.
1501 S RANGE LINE RD
JOPLIN, MO 64804-3230
Phone number: 417-781-7010
Copy
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