Individual
ELIZABETH ANN GRUMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 1 BOX 171A, 311 OLIVE, TUPELO, OK 74572-9750
(580) 320-5203
Mailing address
RR 1 BOX 171A, 311 OLIVE, TUPELO, OK 74572-9750
(580) 320-5203
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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