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Individual

GRANT MANNINEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7500 UNIVERSITY DR, BISMARCK, ND 58504-9634
(701) 255-7500
Mailing address
7500 UNIVERSITY DR, BISMARCK, ND 58504-9634

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
ND

Other

Enumeration date
03/12/2019
Last updated
03/12/2019
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