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1972197945
GRANT LESCALLETT
COLUMBUS, OH
NPI
1972197945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50.007598)
Enumeration Date
2021-02-21
Last Update Date
2022-08-26
Business Address
GRANT LESCALLETT
380 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215-7508
Phone number: 614-722-6200
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Mailing Address
GRANT LESCALLETT
700 CHILDRENS DR
COLUMBUS, OH 43205-2664
Phone number: 614-722-2000
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