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Individual

MRS. DIANE GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2513 DANDELION LN, ROWLETT, TX 75089-6761
(972) 955-2122
(972) 412-5946
Mailing address
2513 DANDELION LN, ROWLETT, TX 75089-6761
(972) 955-2122
(972) 412-5946

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
720743
TX

Other

Enumeration date
02/02/2014
Last updated
02/02/2014
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