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1255996948
CHANELLE GRISSOM
WILLIAMSVILLE, NY
NPI
1255996948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 322694)
Enumeration Date
2019-05-08
Last Update Date
2019-05-08
Business Address
CHANELLE GRISSOM
2250 WEHRLE DR STE 1
WILLIAMSVILLE, NY 14221-7034
Phone number: 716-276-2123
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Mailing Address
CHANELLE GRISSOM
2250 WEHRLE DR STE 1
WILLIAMSVILLE, NY 14221-7034
Phone number:
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