Jayvaughn Deante Grissom
Jayvaughn Deante Grissom is a Technician/Technologist in Dearborn, Michigan. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
19853 Outer Dr Ste 110Dearborn, MI 48124-2044
Phone: (313) 406-5056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Technician/Technologist (primary) | Taxonomy 156F00000X |
|---|
Record details
| NPI number | 1073217733 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 28, 2023 |
| Last updated in NPPES | March 28, 2023 |
| Certification date | March 28, 2023 |
Other providers in Dearborn
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Alison Elizabeth Gottlob
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Tawanda Mechelle Grady
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Mrs. Mallori Estelle Green
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Jamaica Grey
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Cynthia Makayla Guelette
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MS. Rania Ahmed Hadarah
19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 · (406) 505-6313
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Brecia Lashay Hadden
19853 Outer Dr, Dearborn, MI 48124-2066 · (313) 406-5056
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Miss. Nichole Hager
19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 · (313) 406-5056