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Individual
ERNEST GRANT FLAGG
Active
Individual
ERNEST GRANT FLAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
163W00000X
Registered Nurse
Primary
4704299244
MI
Other
Enumeration date
11/05/2013
Last updated
07/18/2015
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