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1518630243
FALLON CHANEL GRANGER
JACKSONVILLE, FL
NPI
1518630243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11013960)
Enumeration Date
2021-07-28
Last Update Date
2021-12-15
Business Address
FALLON CHANEL GRANGER Nurse Practitioner
655 W 8TH ST
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-9000
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Mailing Address
FALLON CHANEL GRANGER Nurse Practitioner
95217 ORCHID BLOSSOM TRL
FERNANDINA BEACH, FL 32034-0182
Phone number: 904-244-4900
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