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1861477960
STEPHANIE A. GRANVALL
ISSAQUAH, WA
NPI
1861477960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA PA60321925)
Enumeration Date
2005-12-12
Last Update Date
2021-05-25
Business Address
STEPHANIE A. GRANVALL P.A.-C
751 NE BLAKELY DR SUITE 4020
ISSAQUAH, WA 98029-6201
Phone number: 425-313-7124
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Mailing Address
STEPHANIE A. GRANVALL P.A.-C
PO BOX 25608
SALT LAKE CITY, UT 84125-0608
Phone number: 206-320-4476
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