JARED MCKINLEY GRANTHAM

DOTHAN, AL
NPI1134464506
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-137611)
Enumeration Date2012-12-11
Last Update Date2012-12-11
Business Address
-- JARED MCKINLEY GRANTHAM CRNA
1108 ROSS CLARK CIR
DOTHAN, AL 36301-3022
Phone number: 334-793-8087
Mailing Address
-- JARED MCKINLEY GRANTHAM CRNA
PO BOX 1928
DOTHAN, AL 36302-1928
Phone number: 334-793-8087
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