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1922485804
MILDRED GRANT
SUMNER, GA
NPI
1922485804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
283Q00000X Psychiatric Hospital
(Licence: GA 159125)
Enumeration Date
2015-04-30
Last Update Date
2015-04-30
Business Address
-- MILDRED GRANT RN
255 SUMNER LAKES RD
SUMNER, GA 31789-4431
Phone number: 229-288-2185
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Mailing Address
-- MILDRED GRANT RN
255 SUMNER LAKES RD
SUMNER, GA 31789-4431
Phone number: 229-288-2185
Copy