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1770770117
TIFFANI L GRANT
JACKSON, MS
NPI
1770770117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133NN1002X Nutritionist, Nutrition, Education
(Licence: MS D1248)
Enumeration Date
2007-10-01
Last Update Date
2009-06-23
Business Address
Miss TIFFANI L GRANT LD
2500 NORTH STATE STREET DEPARTMENT OF MEDICINE/DIVISION OF GENERAL INTERNAL MED
JACKSON, MS 39216-4500
Phone number: 601-984-5660
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Mailing Address
Miss TIFFANI L GRANT LD
P.O. BOX 24146 UNIVERSITY PHYSICIANS, PLLC
JACKSON, MS 39225-4146
Phone number: 601-984-5660
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