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1306304282
MICHELLE L GRANT
PASSAIC, NJ
NPI
1306304282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ00908800)
Enumeration Date
2019-03-08
Last Update Date
2023-01-13
Business Address
MICHELLE L GRANT
110 MAIN AVE
PASSAIC, NJ 07055-4427
Phone number: 973-777-7638
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Mailing Address
MICHELLE L GRANT
110 MAIN AVE
PASSAIC, NJ 07055-4427
Phone number: 973-777-7638
Copy
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