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1609166347
GRANT WHITTINGTON HERNDON
GRAND PRAIRIE, TX
NPI
1609166347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-04-14
Last Update Date
2011-04-14
Business Address
-- GRANT WHITTINGTON HERNDON D.O.
2724 PLEASANT HILL RD
GRAND PRAIRIE, TX 75052-8555
Phone number: 409-720-8147
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Mailing Address
-- GRANT WHITTINGTON HERNDON D.O.
2724 PLEASANT HILL RD.
GRAND PRAIRIE, TX 75052-8555
Phone number: 409-720-8147
Copy
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