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1013481530
MAXINE M GRANSTAN
LAKELAND, FL
NPI
1013481530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: FL CNA345440)
Enumeration Date
2019-01-17
Last Update Date
2019-01-17
Business Address
Ms. MAXINE M GRANSTAN CNA
122 E MAIN ST # 164
LAKELAND, FL 33801-4655
Phone number: 863-272-1001
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Mailing Address
Ms. MAXINE M GRANSTAN CNA
122 E MAIN ST # 164
LAKELAND, FL 33801-4655
Phone number: 863-272-1001
Copy
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