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Contact Information

COURTNEY GRANT
136 N 3RD ST
LOMPOC, CA93436-7002
 Phone: 805-736-1253
 Fax: 805-736-5355
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for COURTNEY GRANT · (Female)

NPI # 1740063247
Status Active
Credentials
Entity Individual
Enumeration date 08/17/2023
Last updated 11/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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