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Individual
DR. DOROTHY K GRANGE
Active
Individual
DR. DOROTHY K GRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
R9J19
MO
207SG0202X
Clinical Biochemical Genetics Physician
R9J19
MO
208000000X
Pediatrics Physician
R9J19
MO
Other
Enumeration date
07/14/2006
Last updated
04/17/2025
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