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1063023935
SHANIKA LANELL GRANT
TYLER, TX
NPI
1063023935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 217806)
Enumeration Date
2020-08-13
Last Update Date
2021-11-24
Business Address
SHANIKA LANELL GRANT
1828 ESE, TX-323 LOOP SUITE 101, TYLER, TX 75701
TYLER, TX 75701-2004
Phone number: 903-363-6760
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Mailing Address
SHANIKA LANELL GRANT
1828 ESE, TX-323 LOOP SUITE 101, TYLER, TX 75701
TYLER, TX 75701-2004
Phone number:
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