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1467182980
DIANNE GRANT
FORT WORTH, TX
NPI
1467182980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: TX 1018083)
Enumeration Date
2022-06-16
Last Update Date
2022-06-16
Business Address
Ms. DIANNE GRANT APRN
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2122
Phone number: 817-250-2551
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Mailing Address
Ms. DIANNE GRANT APRN
920 CHANCELLORSVILLE PKWY
GRAND PRAIRIE, TX 75052-1638
Phone number: 817-675-7563
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