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1770590358
LINDA M GRANT
CONWAY, SC
NPI
1770590358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
-- LINDA M GRANT
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
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Mailing Address
-- LINDA M GRANT
2375 VALLEY FORGE RD
AYNOR, SC 29511-3911
Phone number: 843-347-5060
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