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Individual

DAWN GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
282 HERITAGE WAY, WYTHEVILLE, VA 24382-5719
(276) 243-9520
Mailing address
282 HERITAGE WAY, WYTHEVILLE, VA 24382-5719
(276) 243-9520

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
XDR-5988
VA
347C00000X
Private Vehicle
VA

Other

Enumeration date
05/21/2018
Last updated
05/21/2018
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