MR. GRANT WILBUR GOLDENSTAR
Student, Health Care at Lakeshore Dr, Birmingham, AL

License number
Alabama S10610
Category
Student, Health Care
Type
Student in an Organized Health Care Education/Training Program
Address
Address
800 Lakeshore Dr, Birmingham, AL 35229
Phone
(205) 726-2011
(205) 478-9240
National Provider ID: 1891130613
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Grant Goldenstar, age 46
7278 Cahaba Valley Rd APT 1035, Birmingham, AL 35242
Grant Goldenstar, age 46
PO Box 382611, Birmingham, AL 35238
Grant Goldenstar
116 Stickney Hall, Livingston, AL 35470
(205) 652-2873

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