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Grant Wylie
NPI 1285038018 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1105 Broadway St
Longview, WA 98632 - Phone
- (360) 425-8679
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2014-10-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington