KELLY GRANT

CANTON, MI
NPI1710386891
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: MI  4704191116)
Enumeration Date2014-08-14
Last Update Date2014-09-02
Business Address
-- KELLY GRANT
43825 MICHIGAN AVE
CANTON, MI 48188-2551
Phone number: 734-397-3088
Mailing Address
-- KELLY GRANT
43825 MICHIGAN AVE
CANTON, MI 48188-2551
Phone number: 734-397-3088
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