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Individual

GRANT STARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2060 UPPER 55TH ST E, INVER GROVE HEIGHTS, MN 55077-1725
(651) 294-7332
Mailing address
2060 UPPER 55TH ST E, INVER GROVE HEIGHTS, MN 55077-1725
(651) 294-7332

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528350
MN

Other

Enumeration date
05/08/2023
Last updated
06/03/2026
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