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1750166856
JENNIFET GRANDA ALFONSO
DAVIE, FL
NPI
1750166856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-08-28
Last Update Date
2023-08-28
Business Address
JENNIFET GRANDA ALFONSO
3200 S UNIVERSITY DR
DAVIE, FL 33328-2018
Phone number: 239-233-1248
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Mailing Address
JENNIFET GRANDA ALFONSO
10521 SW 166TH ST
MIAMI, FL 33157-3065
Phone number: 239-233-1248
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