Individual
MR. DYLAN JOEL GRAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
84 DORMITORY ROW WEST, OXFORD, MS 38677
(662) 915-7901
Mailing address
123 COUNTY ROAD 3088, OXFORD, MS 38655-9334
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2024
MS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2024
MS
Other
Enumeration date
06/05/2024
Last updated
06/07/2024
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