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1548400021
JUSTIN G. GRANDIC
LAKE WORTH, FL
NPI
1548400021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP9280808)
Enumeration Date
2009-02-24
Last Update Date
2009-10-13
Business Address
Mrs. JUSTIN G. GRANDIC ARNP ANCC
4801 S CONGRESS AVE STE 201
LAKE WORTH, FL 33461-4746
Phone number: 561-253-3980
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Mailing Address
Mrs. JUSTIN G. GRANDIC ARNP ANCC
4801 S CONGRESS AVE SUITE 201
LAKE WORTH, FL 33461-4746
Phone number: 561-253-3980
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