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1295467504
TAVANNA GRANT
WICHITA FALLS, TX
NPI
1295467504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1074646)
Enumeration Date
2022-06-27
Last Update Date
2024-06-12
Business Address
TAVANNA GRANT PMHNP
4722 TAFT BLVD STE 2
WICHITA FALLS, TX 76308-4800
Phone number: 940-691-1899
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Mailing Address
TAVANNA GRANT PMHNP
PO BOX 924
VERNON, TX 76385-0924
Phone number:
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