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1700929965
TRAVIS GRANT
GAINESVILLE, FL
NPI
1700929965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9104106)
Enumeration Date
2007-02-15
Last Update Date
2023-10-25
Business Address
TRAVIS GRANT PA-C
1601 SW ARCHER RD
GAINESVILLE, FL 32608-1135
Phone number: 321-544-2817
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Mailing Address
TRAVIS GRANT PA-C
1601 SW ARCHER RD
GAINESVILLE, FL 32608-1135
Phone number:
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