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1295290872
LAURA GRANT
MOUND BAYOU, MS
NPI
1295290872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Y00000X Clinical Exercise Physiologist
Enumeration Date
2019-02-07
Last Update Date
2019-02-07
Business Address
Mrs. LAURA GRANT
702 MARTIN LUTHER KING ST
MOUND BAYOU, MS 38762-9314
Phone number: 662-402-5997
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Mailing Address
Mrs. LAURA GRANT
PO BOX 900
MOUND BAYOU, MS 38762-0900
Phone number:
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