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Organization
L C GRISSOM AND ASSOCIATES PLLC
Active
Organization
L C GRISSOM AND ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CAROL GRISSOM N.P. (NURSE PRACTITIONER)
(480) 775-8811
Entity
Organization
Contact information
Practice address
1600 W CHANDLER BLVD, STE. 250, CHANDLER, AZ 85224-6153
(480) 775-8811
(480) 775-8866
Mailing address
1600 W CHANDLER BLVD, STE. 250, CHANDLER, AZ 85224-6153
(480) 775-8811
(480) 775-8866
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN030340
AZ
Other
Enumeration date
11/10/2006
Last updated
08/22/2020
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