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1164641445
CHRISTINA GAIL GRANDERSON
SILOAM SPRINGS, AR
NPI
1164641445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-04-24
Last Update Date
2011-06-14
Business Address
CHRISTINA GAIL GRANDERSON MHPP
710 HOLLY ST
SILOAM SPRINGS, AR 72761
Phone number: 479-464-5925
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Mailing Address
CHRISTINA GAIL GRANDERSON MHPP
2400 S. 48TH STREET
SPRINGDALE, AR 72766
Phone number: 479-750-2020
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