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1568521540
LONNIE L GRANT
ALLIANCE, NE
NPI
1568521540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 762)
Enumeration Date
2006-12-06
Last Update Date
2018-03-12
Business Address
Mr. LONNIE L GRANT PA-C
2107 BOX BUTTE AVE
ALLIANCE, NE 69301-4415
Phone number: 308-762-7244
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Mailing Address
Mr. LONNIE L GRANT PA-C
2091 BOX BUTTE AVE STE 500
ALLIANCE, NE 69301-4456
Phone number: 308-623-2139
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