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Darrel Grant

Driver in Southfield, MI. Individual provider (NPI-1).

NPI number1447599451
StatusActive
Last updated in NPPESFeb 11, 2013

Details

NPI
1447599451
Entity type
Individual (NPI-1)
Name
Darrel Grant
Sex
Male
Sole proprietor
No
Enumeration date
Feb 11, 2013
Last updated
Feb 11, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172A00000X Driver–MIYes

Practice location

25140 Lahser Rd Ste 203a
Southfield, MI 48033-6311

Phone 248-252-8806

Mailing address

25140 Lahser Rd Ste 203a
Southfield, MI 48033-6311

Phone 248-252-8806

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