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Individual

MRS. IRENE N GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
609 N TOWNVILLE ST, SENECA, SC 29678-2642
(864) 882-2245
(864) 885-9659
Mailing address
115 MEADOW DR, SENECA, SC 29678-4225
(864) 882-2245
(864) 885-5965

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
26333P
SC

Other

Enumeration date
03/17/2014
Last updated
03/17/2014
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