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1851879126
KATINA GRANT
CANTON, MS
NPI
1851879126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner Primary Care
(Licence: MS 902801)
Enumeration Date
2018-07-30
Last Update Date
2018-07-31
Business Address
MRS. KATINA GRANT FNP-C
122 E ACADEMY ST
CANTON, MS 39046
Phone number: 601-859-8992
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Mailing Address
MRS. KATINA GRANT FNP-C
122 E ACADEMY ST
CANTON, MS 39046-4502
Phone number: 601-859-8992
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