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Individual

MELISSA GRANGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17048 SCENIC HIGHWAY 98, FAIRHOPE, AL 36532-1142
(251) 517-5383
Mailing address
18921 HEIDELBERG RD, SILVERHILL, AL 36576-3014
(251) 767-6327

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1086
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14634253
CAQH
Enumeration date
08/19/2020
Last updated
08/19/2020
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