GRANT MEDLOCK

SAINT PETERSBURG, FL
NPI1003391145
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
Enumeration Date2018-09-25
Last Update Date2018-09-25
Business Address
GRANT MEDLOCK
2498 LYNN LAKE CIR S
SAINT PETERSBURG, FL 33712-6117
Phone number: 913-553-9394
Mailing Address
GRANT MEDLOCK
2498 LYNN LAKE CIR S
SAINT PETERSBURG, FL 33712-6117
Phone number: 913-553-9394
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