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Individual
WILLIAM BRENT GRIFFETH
Active
Individual
WILLIAM BRENT GRIFFETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT347
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010022488
BLUE SHIELD
ID
01
—
W0673
BLUE CROSS
ID
Enumeration date
12/18/2006
Last updated
07/08/2007
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