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1588715254
DEIDREA LATRICE GRANDBERRY
MEMPHIS, TN
NPI
1588715254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207VX0000X Obstetrics & Gynecology Obstetrics
(Licence: TN MD38629)
Enumeration Date
2007-01-16
Last Update Date
2011-11-10
Business Address
DEIDREA LATRICE GRANDBERRY MD
7705 POPLAR AVE STE 150 BLDG B
MEMPHIS, TN 38138-3930
Phone number: 901-276-3222
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Mailing Address
DEIDREA LATRICE GRANDBERRY MD
1469 POPLAR AVE
MEMPHIS, TN 38104-2934
Phone number: 901-276-3222
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