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1760065080
LARISA DE LA GRANA
HOMESTEAD, FL
NPI
1760065080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11012231)
Enumeration Date
2021-05-04
Last Update Date
2021-05-04
Business Address
LARISA DE LA GRANA
13470SW 271ST LANE
HOMESTEAD, FL 33032
Phone number: 561-537-9897
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Mailing Address
LARISA DE LA GRANA
13470SW 271ST LANE
HOMESTEAD, FL 33032
Phone number: 561-537-9897
Copy
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