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1396136693
GRANT LANDON DAVIS
RICHARDSON, TX
NPI
1396136693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX AP127536)
Enumeration Date
2015-02-09
Last Update Date
2020-05-05
Business Address
GRANT LANDON DAVIS APRN
2150 LAKESIDE BLVD STE 100
RICHARDSON, TX 75082-4302
Phone number: 972-437-4698
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Mailing Address
GRANT LANDON DAVIS APRN
2150 LAKESIDE BLVD STE 100
RICHARDSON, TX 75082-4467
Phone number: 972-437-4698
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