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1861060295
STACEY A GRANT
LITTLE ROCK, AR
NPI
1861060295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AR 215796)
Enumeration Date
2021-06-13
Last Update Date
2021-06-13
Business Address
STACEY A GRANT APN
2 SAINT VINCENT CIR
LITTLE ROCK, AR 72205-5423
Phone number: 501-552-3000
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Mailing Address
STACEY A GRANT APN
1190 WINEBERRY
CONWAY, AR 72034-6990
Phone number: 501-697-6016
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