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1821048240
LYNETTE R GRANDISON
CERES, CA
NPI
1821048240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA G77970)
Enumeration Date
2006-05-10
Last Update Date
2010-06-17
Business Address
-- LYNETTE R GRANDISON MD
2516 E WHITMORE AVE
CERES, CA 95307-2645
Phone number: 209-538-1733
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Mailing Address
-- LYNETTE R GRANDISON MD
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-524-1211
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