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1619340825
LAVERN GRANDISON
ELMONT, NY
NPI
1619340825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 3409469900497e)
Enumeration Date
2015-11-10
Last Update Date
2015-11-10
Business Address
-- LAVERN GRANDISON
24 JACKSON AVE
ELMONT, NY 11003-4202
Phone number: 516-424-9388
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Mailing Address
-- LAVERN GRANDISON
24 JACKSON AVE
ELMONT, NY 11003-4202
Phone number: 516-424-9388
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