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1619308012
KIM GRENNAN
BAYPORT, NY
NPI
1619308012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 462749)
Enumeration Date
2013-12-10
Last Update Date
2013-12-10
Business Address
-- KIM GRENNAN RN
427 TERRACE RD
BAYPORT, NY 11705-1526
Phone number: 631-681-3911
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Mailing Address
-- KIM GRENNAN RN
427 TERRACE RD
BAYPORT, NY 11705-1526
Phone number: 631-681-3911
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