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1942864582
JESSICA CELESTE GRANGER
COPPELL, TX
NPI
1942864582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 9612)
Enumeration Date
2019-04-29
Last Update Date
2019-04-29
Business Address
JESSICA CELESTE GRANGER
3100 OLYMPUS BLVD STE 500
COPPELL, TX 75019-5473
Phone number: 866-221-5405
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Mailing Address
JESSICA CELESTE GRANGER
1110 HIGHWAY 556
CHOUDRANT, LA 71227-9790
Phone number:
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