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1609918234
GREGORY GRANT
SHAWNEE, OK
NPI
1609918234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 25087)
Enumeration Date
2007-02-12
Last Update Date
2012-08-30
Business Address
-- GREGORY GRANT MD
3214 KETHLEY RD
SHAWNEE, OK 74804-9625
Phone number: 405-273-5801
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Mailing Address
-- GREGORY GRANT MD
PO BOX 849
SHAWNEE, OK 74802-0849
Phone number: 405-273-5801
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