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Individual

JEREMIAH LEWIS GRANTHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
A.P. , LMT

Contact information

Practice address
398 CAMINO GARDENS BLVD STE 203, BOCA RATON, FL 33432-5827
(561) 212-1249
Mailing address
398 CAMINO GARDENS BLVD STE 203, BOCA RATON, FL 33432-5827
(561) 212-1249

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2379
FL

Other

Enumeration date
01/04/2012
Last updated
01/04/2012
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