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1841949518
KENNETH EDWARD GRANT
ORANGE, CA
NPI
1841949518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
KENNETH EDWARD GRANT MD
1201 W LA VETA AVE
ORANGE, CA 92868-4203
Phone number: 714-410-5947
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Mailing Address
KENNETH EDWARD GRANT MD
505 S MAIN ST STE 525
ORANGE, CA 92868-4553
Phone number: 714-456-5631
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