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1184902389
KALEY GRANT GROGAN
JACKSON, MS
NPI
1184902389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R880078)
Enumeration Date
2011-07-22
Last Update Date
2015-05-12
Business Address
Mrs. KALEY GRANT GROGAN FNP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
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Mailing Address
Mrs. KALEY GRANT GROGAN FNP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6426
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