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1285128181
KELLY NAGEL GRANT
CLINTON TOWNSHIP, MI
NPI
1285128181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704323876)
Enumeration Date
2018-06-15
Last Update Date
2018-07-28
Business Address
KELLY NAGEL GRANT NP
19176 HALL RD
CLINTON TOWNSHIP, MI 48038
Phone number: 800-379-1600
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Mailing Address
KELLY NAGEL GRANT NP
915 VERNIER RD
GROSSE POINTE WOODS, MI 48236-1578
Phone number: 240-277-1483
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