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1740457761
LYDIA T GRANT
LIVINGSTON, CA
NPI
1740457761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 8657)
Enumeration Date
2008-05-08
Last Update Date
2008-05-08
Business Address
-- LYDIA T GRANT FNP
1140 MAIN ST
LIVINGSTON, CA 95334-1257
Phone number: 209-394-7075
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Mailing Address
-- LYDIA T GRANT FNP
1140 MAIN ST
LIVINGSTON, CA 95334-1257
Phone number: 209-394-7075
Copy
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