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1710238100
THOMAS ARCHIE GRANT
SHREVEPORT, LA
NPI
1710238100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: LA 09226)
Enumeration Date
2012-09-25
Last Update Date
2012-09-25
Business Address
DR. THOMAS ARCHIE GRANT M.D.
9392 STONEBRIAR CIR
SHREVEPORT, LA 71115-3728
Phone number: 318-795-0406
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Mailing Address
DR. THOMAS ARCHIE GRANT M.D.
9392 STONEBRIAR CIR
SHREVEPORT, LA 71115-3728
Phone number: 318-795-0406
Copy
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