AMELIA GRANTHAM

FORT RUCKER, AL
NPI1073810123
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AL  2-052329)
Enumeration Date2011-02-24
Last Update Date2011-02-24
Business Address
-- AMELIA GRANTHAM
BUILDING 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7547
Mailing Address
-- AMELIA GRANTHAM
BUILDING 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7547
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