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Individual

KERI PRICE GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5908 MEADOWHILL DR, COLLEYVILLE, TX 76034-5217
(469) 396-8822
Mailing address
5908 MEADOWHILL DR, COLLEYVILLE, TX 76034-5217
(469) 396-8822

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
981926
TX

Other

Enumeration date
05/18/2020
Last updated
05/18/2020
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