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1932130507
JOHNATHAN K GRANDY
AUGUSTA, ME
NPI
1932130507
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Other Name
JOHN K GRANDY
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 010477)
Enumeration Date
2006-07-05
Last Update Date
2018-08-01
Business Address
JOHNATHAN K GRANDY PA
35 MEDICAL CENTER PARKWAY
AUGUSTA, ME 04330
Phone number: 207-877-3400
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Mailing Address
JOHNATHAN K GRANDY PA
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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