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1124269998
CARON C GRANT-ELLIS
MESA, AZ
NPI
1124269998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: AZ RN133597)
Enumeration Date
2009-03-09
Last Update Date
2009-03-09
Business Address
-- CARON C GRANT-ELLIS RN
554 S BELLVIEW
MESA, AZ 85204-2504
Phone number: 480-649-1141
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Mailing Address
-- CARON C GRANT-ELLIS RN
3691 W YELLOW PEAK DR
QUEEN CREEK, AZ 85242-3076
Phone number: 480-677-4160
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