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1164666178
BRENDA L GRANT
FLORISSANT, MO
NPI
1164666178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2002028541)
Enumeration Date
2009-04-22
Last Update Date
2009-04-22
Business Address
Mrs. BRENDA L GRANT LPN
4585 WASHINGTON ST SUITE A-4
FLORISSANT, MO 63033-5858
Phone number: 314-402-4693
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Mailing Address
Mrs. BRENDA L GRANT LPN
3112 CROSS KEYS PLACE DR
FLORISSANT, MO 63033-3129
Phone number: 314-402-4693
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