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1801815238
JEFF T GRANGE
LOMA LINDA, CA
NPI
1801815238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A54888)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
-- JEFF T GRANGE M.D.
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4344
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Mailing Address
-- JEFF T GRANGE M.D.
54701 FILE NUMBER
LOS ANGELES, CA 90074-4701
Phone number: 909-558-3111
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