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1114071404
JANE M GRANT
SUFFOLK, VA
NPI
1114071404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024084723)
Enumeration Date
2007-01-23
Last Update Date
2020-07-23
Business Address
JANE M GRANT NP
114 N MAIN ST STE 200
SUFFOLK, VA 23434-4564
Phone number: 757-934-1003
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Mailing Address
JANE M GRANT NP
114 N MAIN ST STE 200
SUFFOLK, VA 23434-4564
Phone number: 757-934-1003
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