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Individual

HEATHER LYNNE GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3900 CAPITOL MALL DR SW, OLYMPIA, WA 98502-8654
(360) 956-2559
Mailing address
3200 CAPITOL MALL DR SW, A302, OLYMPIA, WA 98502-8658
(208) 661-1722

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 60222497
WA

Other

Enumeration date
08/07/2011
Last updated
08/07/2011
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