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Grace Bland

NPI 1235449414 · on the registry since 2010 · sole proprietor

Practice

Address
5223 Glendora Ct
Powder Springs, GA 30127
Phone
(619) 817-6488

Registry record

Primary taxonomy
376K00000X
376K00000X
Also registered as
372500000X
372600000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-10-20

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 Georgia