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1497353304
REGINA GRANT
PACOIMA, CA
NPI
1497353304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 292477)
Enumeration Date
2020-10-13
Last Update Date
2020-10-13
Business Address
REGINA GRANT
12450 VAN NUYS BLVD STE 200
PACOIMA, CA 91331-1393
Phone number: 818-896-1161
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Mailing Address
REGINA GRANT
12450 VAN NUYS BLVD STE 200
PACOIMA, CA 91331-1393
Phone number: 818-896-1161
Copy
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