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1235397258
JACKELINE A DE LA GRANA
HIALEAH, FL
NPI
1235397258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246Z00000X Specialist/Technologist, Other
(Licence: FL MA50607)
Enumeration Date
2008-05-27
Last Update Date
2008-05-27
Business Address
-- JACKELINE A DE LA GRANA
1490 W 49TH PL SUITE 210
HIALEAH, FL 33012-3148
Phone number: 305-823-4008
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Mailing Address
-- JACKELINE A DE LA GRANA
4444 SW 136TH PL
MIAMI, FL 33175-3721
Phone number:
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