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Individual

VICTOR KIMBALL GRANDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
4946 W MINERAL KING, VISALIA, CA 93291
(559) 624-1405
(559) 624-1746
Mailing address
4946 W MINERAL KING, VISALIA, CA 93291
(559) 624-1405
(559) 624-1746

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005143
IL
213E00000X
Podiatrist
E4724
CA

Other

Enumeration date
07/28/2005
Last updated
10/21/2011
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