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Individual

SARA LYNN GRANDSTRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.T.C.

Contact information

Practice address
16245 NE 24TH ST, BELLEVUE, WA 98008-2413
(425) 456-7309
Mailing address
8100 129TH PL SE, NEWCASTLE, WA 98056-9102
(425) 228-8491

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/21/2006
Last updated
07/08/2007
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