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1881620763
GRANT LEROY FORRESTER
MAQUOKETA, IA
NPI
1881620763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IA 30745)
Enumeration Date
2006-06-23
Last Update Date
2021-04-05
Business Address
GRANT LEROY FORRESTER M.D.
601 HOSPITAL DR
MAQUOKETA, IA 52060-1201
Phone number: 563-652-2474
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Mailing Address
GRANT LEROY FORRESTER M.D.
2088 HAWTHORNE DR
PELLA, IA 50219-7914
Phone number: 785-313-5694
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