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Shawna Grayham, STATE LICENSE
NPI 1033365473 · on the registry since 2008
Practice
- Address
- 1609 W Main St
Russellville, AR 72801 - Phone
- (479) 967-7538
- Fax
- (479) 968-9077
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-12-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas