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Individual

GRANT GASPARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC, ATC

Contact information

Practice address
12977 N 40 DR STE 212, SAINT LOUIS, MO 63141-8655
(217) 415-5789
Mailing address
12977 N 40 DR STE 212, SAINT LOUIS, MO 63141-8655
(217) 415-5789

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2023002895
MO

Other

Enumeration date
03/06/2019
Last updated
06/13/2025
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