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Glendolin Grant, MT
NPI 1205377025 · on the registry since 2017 · sole proprietor
Practice
- Address
- 105 Van Buren St
Passaic, NJ 07055 - Phone
- (201) 724-4870
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-13
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 New Jersey