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1093970733
MARY GRANT
SOUTHAVEN, MS
NPI
1093970733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R538515)
Enumeration Date
2008-07-22
Last Update Date
2008-07-22
Business Address
-- MARY GRANT FNP
9140 HIGHWAY 51 N
SOUTHAVEN, MS 38671-1233
Phone number: 662-280-8222
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Mailing Address
-- MARY GRANT FNP
9140 HIGHWAY 51 N
SOUTHAVEN, MS 38671-1233
Phone number: 662-280-8222
Copy
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