Individual
MRS. DORA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
8532 CASTLETON CORNER DR STE 23, INDIANAPOLIS, IN 46250-3812
(317) 829-6047
Mailing address
1320 N PARKER AVE, INDIANAPOLIS, IN 46201-1202
(317) 345-9396
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
IN
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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