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STEPHEN GRANTHAM RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1043679129

Individual Registrant:
 STEPHEN  GRANTHAM RN
Gender: M
Not Sole Proprietor

Location and contact information for practice:
39 RIDGEWOOD LOOP  VILONIA, AR 72173-8058 US
Tel: 501-912-6884  Fax: --

Contact information for business:
39 RIDGEWOOD LOOP  VILONIA, AR 72173-8058 US
Tel: 501-912-6884  Fax: --

Registration Information:
NPI: 1043679129
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
ARR095593

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AR - Page 1



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