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1134908288
KENNISHA MICHELLE GRANT
MERCED, CA
NPI
1134908288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 719522)
Enumeration Date
2023-09-27
Last Update Date
2023-09-27
Business Address
KENNISHA MICHELLE GRANT
301 E 13TH ST STE D
MERCED, CA 95341-6211
Phone number: 209-386-1096
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Mailing Address
KENNISHA MICHELLE GRANT
3433 W SHAW AVE STE 103
FRESNO, CA 93711-3229
Phone number: 559-558-4051
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