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1578740205
HAROLD J GRISSOM
COLUMBUS, MS
NPI
1578740205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS R857989)
Enumeration Date
2008-01-24
Last Update Date
2010-05-13
Business Address
-- HAROLD J GRISSOM CRNA
2520 5TH ST N
COLUMBUS, MS 39705-2008
Phone number: 662-244-1000
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Mailing Address
-- HAROLD J GRISSOM CRNA
29 CREAMERY LN
EASTON, MD 21601-3137
Phone number: 800-222-1335
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