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1689687295
ALEXANDER V GRANDT
URBANA, IL
NPI
1689687295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.006172)
Enumeration Date
2006-08-14
Last Update Date
2022-09-30
Business Address
Mr. ALEXANDER V GRANDT
1109 S LINCOLN AVE
URBANA, IL 61801-4703
Phone number: 217-333-2711
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Mailing Address
Mr. ALEXANDER V GRANDT
1109 S LINCOLN AVE
URBANA, IL 61801-4703
Phone number:
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