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Individual
CASEY PAUL GRANGER
Active
Individual
CASEY PAUL GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN, MSN, APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.029954
IL
Other
Enumeration date
07/01/2024
Last updated
09/23/2024
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