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1669610960
MARK GRANT
BANGOR, ME
NPI
1669610960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0127X Surgery, Trauma Surgery
(Licence: ME 018796)
Enumeration Date
2009-01-26
Last Update Date
2019-03-04
Business Address
MARK GRANT MD
489 STATE ST
BANGOR, ME 04401-6616
Phone number: 207-973-7000
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Mailing Address
MARK GRANT MD
43 WHITING HILL RD STE 300
BREWER, ME 04412-1005
Phone number: 207-973-5035
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