Austin Grant, LPN

NPI #1063025781 in Benton, Illinois

Provider Information

NPI Number
1063025781
Entity Type
Individual
Name
Austin Grant, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Aug 24, 2020
Last Updated
Aug 24, 2020

Practice Location

Address
205 JOPLIN ST
City
Benton
ZIP Code
62812-2023
Phone
(618) 603-6209

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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