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1811374648
GRANT DENHERDER
DULUTH, MN
NPI
1811374648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-04-30
Last Update Date
2022-04-22
Business Address
GRANT DENHERDER ATC
1012 E 2ND ST
DULUTH, MN 55805-2200
Phone number: 507-327-8838
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Mailing Address
GRANT DENHERDER ATC
1012 E 2ND ST
DULUTH, MN 55805-2200
Phone number: 507-327-8838
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