BRUCE JOHN GRANDSTAFF

COEUR D ALENE, ID
NPI1730155334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: ID  CHIA 668)
Enumeration Date2006-02-24
Last Update Date2007-07-08
Business Address
Mr. BRUCE JOHN GRANDSTAFF DC
7905 N MEADOWLARK WAY STE B
COEUR D ALENE, ID 83815
Phone number: 208-772-6015
Mailing Address
Mr. BRUCE JOHN GRANDSTAFF DC
7905 N MEADOWLARK WAY STE B
COEUR D ALENE, ID 83815
Phone number: 208-772-6015
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