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1760019558
SANDRA GRANT
ROSEDALE, NY
NPI
1760019558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 335525)
Enumeration Date
2020-03-24
Last Update Date
2020-03-24
Business Address
SANDRA GRANT
25360 149TH RD
ROSEDALE, NY 11422-2822
Phone number: 347-355-1483
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Mailing Address
SANDRA GRANT
25360 149TH RD
ROSEDALE, NY 11422-2822
Phone number: 347-355-1483
Copy
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