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Individual

BRENDA GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9916 BIA ROAD 13, BELCOURT, ND 58316-3839
(701) 244-5052
Mailing address
PO BOX 1764, BELCOURT, ND 58316-1764
(701) 244-5052

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
11/15/2020
Last updated
11/15/2020
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