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1740845122
WANDA JEAN GRANT
LOMPOC, CA
NPI
1740845122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 348078)
Enumeration Date
2019-05-01
Last Update Date
2019-05-01
Business Address
Ms. WANDA JEAN GRANT Registered Nurse
117 N B ST
LOMPOC, CA 93436-6901
Phone number: 805-681-5100
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Mailing Address
Ms. WANDA JEAN GRANT Registered Nurse
43036 30TH ST W APT 131
LANCASTER, CA 93536-4773
Phone number: 661-481-1121
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