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Organization
GRANT CHIROPRACTIC HEALTHCARE CENTER LLC
Active
Organization
GRANT CHIROPRACTIC HEALTHCARE CENTER LLC
Active
Other names
Carol C Grant DC
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL C GRANT DC DACAN (OWNER)
(860) 620-9523
Entity
Organization
Contact information
Practice address
1601 MERIDEN WATERBURY TPK, MILLDALE, CT 06473-0792
(860) 620-9523
(860) 620-9628
Mailing address
1601 MERIDEN WATERBURY TPK, PO BOX 792, MILLDALE, CT 06473-0792
(860) 620-9523
(860) 620-9628
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CT587
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000587CT04
BLUE CROSS BLUE SHIELD
CT
Enumeration date
11/02/2006
Last updated
06/18/2008
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