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Individual

BRANDON L. GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
110 JACKSON ST, SOUTH WEBSTER, OH 45682-7502
(740) 778-1020
(740) 778-1022
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.16741
OH

Other

Enumeration date
10/23/2014
Last updated
05/25/2022
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