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Individual

LISA D GRISSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
25701 HALL RD, JUNCTION CITY, OR 97448-8537
(541) 998-6268
Mailing address
25701 HALL RD, JUNCTION CITY, OR 97448-8537

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
080044623RN
OR

Other

Enumeration date
01/07/2010
Last updated
01/07/2010
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