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1689345803
AMY IDA GRAINGER
CLEARWATER, FL
NPI
1689345803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: FL PA911014233)
Enumeration Date
2021-09-27
Last Update Date
2022-09-26
Business Address
AMY IDA GRAINGER PA-C
3197 SHORELINE DR
CLEARWATER, FL 33760-1737
Phone number: 757-753-8662
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Mailing Address
AMY IDA GRAINGER PA-C
3197 SHORELINE DR
CLEARWATER, FL 33760-1737
Phone number: 757-753-8662
Copy
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