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Individual

AMY GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2000 REGENCY CT, #101, TOLEDO, OH 73623
(419) 882-0003
Mailing address
2409 CHERRY ST, #305, TOLEDO, OH 43608
(419) 251-3740
(419) 251-3859

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
223393
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN223395
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2023536
OH
Enumeration date
05/30/2006
Last updated
04/09/2008
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