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1790396273
AMANDA JO GRANT
URBANA, IL
NPI
1790396273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209020850)
Enumeration Date
2020-08-10
Last Update Date
2024-07-08
Business Address
AMANDA JO GRANT APRN
2001 PHILO RD
URBANA, IL 61802-8007
Phone number: 217-552-1211
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Mailing Address
AMANDA JO GRANT APRN
2001 PHILO RD
URBANA, IL 61802-8007
Phone number: 217-398-9066
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