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1790754638
MARY E GRANDON
CLENDENIN, WV
NPI
1790754638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 00616)
Enumeration Date
2006-03-14
Last Update Date
2020-05-21
Business Address
MARY E GRANDON PA-C
107 KOONTZ AVE. STE. 200
CLENDENIN, WV 25045
Phone number: 304-548-7272
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Mailing Address
MARY E GRANDON PA-C
PO BOX 70
DAWES, WV 25054
Phone number: 304-734-2040
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