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1730728361
GRANT MARQUART
ROSEBURG, OR
NPI
1730728361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR PG210641)
Enumeration Date
2019-12-30
Last Update Date
2022-11-28
Business Address
GRANT MARQUART MD
150 NE KENNETH FORD DR
ROSEBURG, OR 97470-1042
Phone number: 541-672-9596
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Mailing Address
GRANT MARQUART MD
4211 NE STEPHENS ST STE 101
ROSEBURG, OR 97470-1120
Phone number: 541-672-9596
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