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1013616069
CANDACE LANETTE GROSS
MEMPHIS, TN
NPI
1013616069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2023-02-28
Last Update Date
2023-08-28
Business Address
CANDACE LANETTE GROSS
3950 CORNELL ST APT 1
MEMPHIS, TN 38127-3867
Phone number: 901-707-1778
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Mailing Address
CANDACE LANETTE GROSS
3950 CORNELL ST APT 1
MEMPHIS, TN 38127-3867
Phone number: 901-707-1778
Copy
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