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Individual

SHANIKA GRANVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
107 NORRIS CT, DAYTON, OR 97114
(503) 935-6862
Mailing address
107 NORRIS CT, DAYTON, OR 97114
(503) 935-6862

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary

Other

Enumeration date
05/22/2023
Last updated
05/22/2023
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