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Individual

DR. DALTON RAY GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1650 BONNIE LN STE 102, CORDOVA, TN 38016-0517
(901) 756-2424
Mailing address
7140 REDFERN DR, HORN LAKE, MS 38637-1263

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1345
MS
111N00000X
Chiropractor
3517
TN

Other

Enumeration date
04/23/2024
Last updated
06/25/2024
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