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1306156245
IRENE GRANT
STATEN ISLAND, NY
NPI
1306156245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 301427)
Enumeration Date
2010-10-13
Last Update Date
2010-10-13
Business Address
-- IRENE GRANT LPN
1477 HYLAN BLVD
STATEN ISLAND, NY 10305-1906
Phone number: 718-979-6900
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Mailing Address
-- IRENE GRANT LPN
200 W 15TH ST
LINDEN, NJ 07036-4612
Phone number: 347-772-5555
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