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1356068407
CORRINE N GRANT
PHILADELPHIA, PA
NPI
1356068407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA 61233369)
Enumeration Date
2022-10-19
Last Update Date
2022-10-19
Business Address
CORRINE N GRANT
1200 INTREPID AVE
PHILADELPHIA, PA 19112-1229
Phone number: 800-748-3243
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Mailing Address
CORRINE N GRANT
215 10TH AVE E APT 138
SEATTLE, WA 98102-6121
Phone number: 646-841-2646
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