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1639639669
JACOB CARLOS EARL GRANT
SAINT LOUIS, MO
NPI
1639639669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MO 2021025318)
Enumeration Date
2019-03-25
Last Update Date
2024-08-14
Business Address
Dr. JACOB CARLOS EARL GRANT MD
510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY
SAINT LOUIS, MO 63110-1016
Phone number: 314-362-7200
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Mailing Address
Dr. JACOB CARLOS EARL GRANT MD
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-362-7200
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