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1639571854
GRANT MATHIS
PADUCAH, KY
NPI
1639571854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 017392)
Enumeration Date
2014-09-18
Last Update Date
2014-09-18
Business Address
Dr. GRANT MATHIS Pharm.D.
2755 W PARK DR
PADUCAH, KY 42001-9058
Phone number: 270-443-0909
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Mailing Address
Dr. GRANT MATHIS Pharm.D.
2755 W PARK DR
PADUCAH, KY 42001-9058
Phone number: 270-443-0909
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