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Individual

MS. DEBRA FRAZIER GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
207 CENTER ST E, EATONVILLE, WA 98328
(360) 832-2167
(360) 832-3661
Mailing address
10515 497TH ST E, EATONVILLE, WA 98328-9458
(360) 569-2509
(360) 832-3661

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30001917
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7900616
WA
05
9604174
WA
Enumeration date
03/20/2007
Last updated
07/09/2007
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