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1528839966
LAVONIA GRANT
CUTLER BAY, FL
NPI
1528839966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11027969)
Enumeration Date
2024-01-15
Last Update Date
2024-01-15
Business Address
LAVONIA GRANT
10381 SW 226TH ST
CUTLER BAY, FL 33190-1464
Phone number: 216-326-9412
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Mailing Address
LAVONIA GRANT
10381 SW 226TH ST
CUTLER BAY, FL 33190-1464
Phone number: 216-326-9412
Copy
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