Individual
CONNIE J GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
2 E CLARK BASS BLVD, MCALESTER, OK 74501-4282
(918) 715-0521
(918) 577-4726
Mailing address
2 E CLARK BASS BLVD, MCALESTER, OK 74501-4282
(918) 715-0521
(918) 577-4726
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
126487
OK
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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