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Individual

MR. GRANT EDWARD MANN I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
9239 E DREYFUS PL, SCOTTSDALE, AZ 85260-4397
(480) 889-4714
Mailing address
9239 E DREYFUS PL, SCOTTSDALE, AZ 85260-4397
(480) 889-4714

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-18963
AZ

Other

Enumeration date
05/23/2023
Last updated
05/23/2023
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