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1487028940
DIAMONIQUA GRANT
ROCHESTER, NY
NPI
1487028940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 324309)
Enumeration Date
2015-11-20
Last Update Date
2019-10-25
Business Address
DIAMONIQUA GRANT LPN
1614 PENFIELD RD STE 2
ROCHESTER, NY 14625-2390
Phone number: 585-310-7295
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Mailing Address
DIAMONIQUA GRANT LPN
PO BOX 25675
ROCHESTER, NY 14625-0675
Phone number: 585-310-7295
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