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1528281979
JACQUELYN EILA GRANDT
LOS ANGELES, CA
NPI
1528281979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 246177)
Enumeration Date
2007-04-11
Last Update Date
2009-03-17
Business Address
Mrs. JACQUELYN EILA GRANDT NP
1441 EASTLAKE AVE # 3440
LOS ANGELES, CA 90089-0112
Phone number: 323-865-3900
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Mailing Address
Mrs. JACQUELYN EILA GRANDT NP
1441 EASTLAKE AVE # 3440
LOS ANGELES, CA 90089-0112
Phone number: 323-865-3900
Copy
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