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1427352871
WANNIE D MARK-GRANT
INDIANAPOLIS, IN
NPI
1427352871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71003512A)
Enumeration Date
2010-12-28
Last Update Date
2014-03-26
Business Address
Ms. WANNIE D MARK-GRANT fnp
10473 DAY STAR DR
INDIANAPOLIS, IN 46234-7675
Phone number: 317-345-4242
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Mailing Address
Ms. WANNIE D MARK-GRANT fnp
10473 DAY STAR DR
INDIANAPOLIS, IN 46234-7675
Phone number: 317-345-4242
Copy
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