Individual
DR. JON GRANBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
633 W TIETAN ST, WALLA WALLA, WA 99362-4329
(509) 529-1570
Mailing address
916 MARTIN DR, WALLA WALLA, WA 99362-1528
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60470396
WA
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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