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1609845478
GRANADA STEPHENS NEIL
WINSTON SALEM, NC
NPI
1609845478
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Former Name
GRANADA SHALANE STEPHENS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 200501450)
Enumeration Date
2006-03-15
Last Update Date
2009-08-27
Business Address
-- GRANADA STEPHENS NEIL MD
1400 MILLGATE DR SUITE D
WINSTON SALEM, NC 27103-1338
Phone number: 336-774-2194
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Mailing Address
-- GRANADA STEPHENS NEIL MD
1400 MILLGATE DR SUITE D
WINSTON SALEM, NC 27103-1338
Phone number: 336-774-2194
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