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Individual

DAVID LYNN GRINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
190 E QUEENWOOD RD, MORTON, IL 61550-2926
(309) 266-9741
(309) 266-6040
Mailing address
190 E QUEENWOOD RD, MORTON, IL 61550-2926
(309) 266-9741
(309) 266-6040

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
056.004926
IL

Other

Enumeration date
02/09/2009
Last updated
02/09/2009
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