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1073664199
AUDREY NADINE GRANT
WASHINGTON, DC
NPI
1073664199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: DC PA47)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
-- AUDREY NADINE GRANT PAC
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016-2633
Phone number: 202-537-4122
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Mailing Address
-- AUDREY NADINE GRANT PAC
1332 INGRAHAM ST NW
WASHINGTON, DC 20011-3604
Phone number:
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