Individual
DR. GRANT ANDREW PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
963 W ARROW HWY, SAN DIMAS, CA 91773-2410
(909) 592-5666
Mailing address
909 N GLENDORA AVE, GLENDORA, CA 91741-2079
(562) 260-4848
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9068T
CA
Other
Enumeration date
11/27/2006
Last updated
11/15/2011
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