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Grant Gaspard
Student in an Organized Health Care Education/Training Program in Springfield, Illinois
NPI 1861950156

Grant Gaspard is a Student in an Organized Health Care Education/Training Program based in Springfield, IL. Grant Gaspard practices in Springfield, IL. The NPI Number for Grant Gaspard is 1861950156 and holds a License No. (Illinois).

The current practice location address for Grant Gaspard is 2501 Interlacken Dr, Springfield, IL and can be reached out via phone at 217-415-5789.

Location: 2501 Interlacken Dr, Springfield, IL, 62704-4153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861950156
Provider Name
Grant Gaspard
Credential
Provider Entity Type
Individual
Gender
Male
Address
2501 Interlacken Dr, Springfield, IL, 62704-4153
Phone Number
217-415-5789
Fax Number
Provider Enumeration Date
03/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2501 Interlacken Dr
City
Springfield
State
Illinois
Zip
62704-4153
Phone Number
217-415-5789
Fax Number
person
Provider Business Mailing Address Details
Address
2501 Interlacken Dr
City
Springfield
State
Illinois
Zip
62704-4153
Phone Number
217-415-5789
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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