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Individual
DR. JAY PAUL GRANT
Active
Individual
DR. JAY PAUL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
901758971202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10463
ATTIUS
UT
01
—
23516
PEHP
UT
01
—
5292851477001
BCBS
UT
01
—
53752
U OF W HEALTH PLAN
UT
01
—
870395551GR1
ED MUTUAL
UT
Enumeration date
06/27/2006
Last updated
09/11/2015
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