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1932169430
TIMOTHY S GRANGE
SALT LAKE CITY, UT
NPI
1932169430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: UT 891801521205)
Enumeration Date
2006-03-27
Last Update Date
2009-07-03
Business Address
Dr. TIMOTHY S GRANGE MD
4052 PIONEER PKWY SUITE 208
SALT LAKE CITY, UT 84120-2062
Phone number: 801-955-1232
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Mailing Address
Dr. TIMOTHY S GRANGE MD
4052 PIONEER PKWY SUITE 208
SALT LAKE CITY, UT 84120-2062
Phone number: 801-955-1232
Copy
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