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Individual

SANDRA GRISSOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
301 S AVALON ST, WEST MEMPHIS, AR 72301-4170
(901) 486-4897
Mailing address
301 S AVALON ST, WEST MEMPHIS, AR 72301-4170

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
214781
AR

Other

Enumeration date
06/12/2026
Last updated
06/12/2026
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