Linda Denise Granger

NPI 1194999235 - Private Vehicle - 347C00000X

NPI Details
NPI 1194999235
Gender Female
Enumeration Date 04/18/2008
Last Updated 04/18/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
19622 SEQUOIA AVE
LYNWOOD IL, 60411-6831, US
Phone (708) 418-5310
Fax (708) 474-7096
Business Location
19622 SEQUOIA AVE
LYNWOOD IL, 60411-6831, US
Phone (708) 418-5310
Fax (708) 474-7096
Toxanomy
Taxonomy Code 347C00000X
License State Illinois
License Number 2935015
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According to our database, Mrs. Linda Denise Granger NPI is 1194999235, taxonomy code is 347C00000X and license number is 2935015, license state is located at Illinois. Linda Denise Granger physically located at 19622 Sequoia Ave, Lynwood IL, 60411-6831. NPI Number Linda Denise Granger has the Individual type.

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1194999235 NPI number is provided on an as is basis without warranty of any kind. 1194999235 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Denise Granger are for informational purposes only.