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1669500096
JEFFREY S GRANT
FARMINGTON, NM
NPI
1669500096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NM 99216)
Enumeration Date
2007-02-28
Last Update Date
2012-09-12
Business Address
-- JEFFREY S GRANT M.D.
608 E COMANCHE ST
FARMINGTON, NM 87401-6815
Phone number: 505-325-0072
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Mailing Address
-- JEFFREY S GRANT M.D.
PO BOX 677
FARMINGTON, NM 87499-0677
Phone number: 505-325-0072
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