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1700550472
ANNIE L DE LA GRANA
WAKE FOREST, NC
NPI
1700550472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5014759)
Enumeration Date
2021-08-05
Last Update Date
2021-08-24
Business Address
ANNIE L DE LA GRANA DNP FNP-C
1655 WAKE DR UNIT 101
WAKE FOREST, NC 27587-4746
Phone number: 919-556-4779
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Mailing Address
ANNIE L DE LA GRANA DNP FNP-C
1655 WAKE DR UNIT 101
WAKE FOREST, NC 27587-4746
Phone number: 919-556-4779
Copy
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