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1477378164
GRACE CARE MEDICAL LLC
PENSACOLA, FL
NPI
1477378164
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Entity Type
Organization
Authorized Contact
JENNIFER NICOLE MOULTRIE
CEO
850-712-5877
Organization Subpart ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
Enumeration Date
2024-11-19
Last Update Date
2024-12-16
Business Address
GRACE CARE MEDICAL LLC
4929 MOBILE HWY
PENSACOLA, FL 32506-3229
Phone number: 850-960-7971
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Mailing Address
GRACE CARE MEDICAL LLC
3631 GODWIN LN
PENSACOLA, FL 32526-8037
Phone number: 850-960-7971
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