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Individual
DEVON GRANT
Active
Individual
DEVON GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, OTC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1288
NH
2255A2300X
Athletic Trainer
1628
AL
2255A2300X
Athletic Trainer
AL4553
FL
246ZX2200X
Orthopedic Assistant
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077154
—
NH
Enumeration date
04/18/2016
Last updated
07/21/2022
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