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1831445402
LEROY GRANT
SILVER SPRING, MD
NPI
1831445402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: DC pa165)
Enumeration Date
2012-07-31
Last Update Date
2012-07-31
Business Address
Mr. LEROY GRANT physicians assistant
12215 DALEWOOD DR
SILVER SPRING, MD 20902-1119
Phone number: 301-946-0806
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Mailing Address
Mr. LEROY GRANT physicians assistant
12215 DALEWOOD DR
SILVER SPRING, MD 20902-1119
Phone number: 301-946-0806
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