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Individual

MS. CANDACE SHAE GRANGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
2336 CONGRESS PKWY S, ATHENS, TN 37303-2820
(423) 507-0887
Mailing address
5914 PORTER DR, HARRISON, TN 37341-9582
(423) 509-3327

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
188302
TN

Other

Enumeration date
12/02/2022
Last updated
12/02/2022
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