STACEY K GRANT

FORT PIERCE, FL
NPI1780924597
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  5207015)
Enumeration Date2013-02-15
Last Update Date2013-02-15
Business Address
-- STACEY K GRANT LPN
4500 W MIDWAY RD
FORT PIERCE, FL 34981-4823
Phone number: 772-672-8413
Mailing Address
-- STACEY K GRANT LPN
4500 W MIDWAY RD
FORT PIERCE, FL 34981-4823
Phone number: 772-672-8413
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