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Individual

MS. CELENA GRISSAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
P.O. BOX 62473, 8585 CRITERION DR., COLORADO SPRINGS, CO 80962
(719) 331-0753
Mailing address
P.O. BOX 62473, 8585 CRITERION DR., COLORADO SPRINGS, CO 80962
(719) 331-0753

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0009514
CO

Other

Enumeration date
12/03/2025
Last updated
12/03/2025
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