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1902010093
MATTHEW J GRANT
LAFAYETTE, LA
NPI
1902010093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: LA 204686)
Enumeration Date
2007-05-09
Last Update Date
2013-06-18
Business Address
Dr. MATTHEW J GRANT MD
2311 KALISTE SALOOM RD
LAFAYETTE, LA 70508-6807
Phone number: 337-231-5775
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Mailing Address
Dr. MATTHEW J GRANT MD
PO BOX 53134
LAFAYETTE, LA 70505-3134
Phone number: 337-261-5151
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