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Individual

WILLIAM JAREL GRANT

Active
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Individual

WILLIAM JAREL GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SURGICAL ASSISTANT

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
SA.0002850
CO
246ZS0410X
Surgical Technologist
ST.0001857
CO
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
05/05/2022
Last updated
10/15/2024
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