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1902968027
LISA HOPE GRANT
FLOSSMOOR, IL
NPI
1902968027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL 019.022759)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
Dr. LISA HOPE GRANT DDS,MS
1032 STERLING AVE
FLOSSMOOR, IL 60422-1234
Phone number: 708-799-3030
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Mailing Address
Dr. LISA HOPE GRANT DDS,MS
1809 REDWOOD LN
MUNSTER, IN 46321-5166
Phone number: 219-313-9143
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