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1154996221
COURTNEY HALDEMAN GRANADERO
WINSTON SALEM, NC
NPI
1154996221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5014442)
Enumeration Date
2021-05-21
Last Update Date
2023-11-07
Business Address
COURTNEY HALDEMAN GRANADERO AGNP
3001 LYNDHURST AVE
WINSTON SALEM, NC 27103-4007
Phone number: 336-970-3244
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Mailing Address
COURTNEY HALDEMAN GRANADERO AGNP
1672 PARK TERRACE LN
WINSTON SALEM, NC 27127-4796
Phone number: 336-970-3244
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