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1487004297
MELISSA ANN GRANBERRY
PORTLAND, TX
NPI
1487004297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP131128)
Enumeration Date
2016-06-13
Last Update Date
2016-06-13
Business Address
-- MELISSA ANN GRANBERRY NP-C
1830 BILLY G WEBB
PORTLAND, TX 78374-3707
Phone number: 361-643-2518
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Mailing Address
-- MELISSA ANN GRANBERRY NP-C
908 S KOSSUTH ST
ROCKPORT, TX 78382-4635
Phone number: 361-944-6767
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