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1235960188
CARRIE A GRANT
CHAMPAIGN, IL
NPI
1235960188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 209030580)
Enumeration Date
2024-08-12
Last Update Date
2024-09-19
Business Address
Mrs. CARRIE A GRANT PMHNP
809 W CHURCH ST
CHAMPAIGN, IL 61820-3320
Phone number: 224-704-2223
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Mailing Address
Mrs. CARRIE A GRANT PMHNP
809 W CHURCH ST
CHAMPAIGN, IL 61820-3320
Phone number: 224-704-2223
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