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1689783938
DALLAS L. GRANT
DANVILLE, IL
NPI
1689783938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071002482)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. DALLAS L. GRANT PhD
112 SUNSET RD
DANVILLE, IL 61834-5900
Phone number: 217-442-1004
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Mailing Address
Dr. DALLAS L. GRANT PhD
112 SUNSET RD
DANVILLE, IL 61834-5900
Phone number: 217-442-1004
Copy
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