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1770782153
MAURICE R GRANT
MORGANTOWN, WV
NPI
1770782153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0101X Pathology, Anatomic Pathology
(Licence: WV 22854)
Enumeration Date
2007-07-16
Last Update Date
2007-11-16
Business Address
-- MAURICE R GRANT MD
101 STADIUM DR
MORGANTOWN, WV 26506-7911
Phone number: 304-598-4000
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Mailing Address
-- MAURICE R GRANT MD
PO BOX 897
MORGANTOWN, WV 26507-0897
Phone number: 304-293-5033
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