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1790408540
CASSANDRA R GRACE
OZARK, AL
NPI
1790408540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AL 2-064711)
Enumeration Date
2022-09-26
Last Update Date
2022-09-29
Business Address
CASSANDRA R GRACE
178 HORNSBY CT
OZARK, AL 36360-4100
Phone number: 334-400-3745
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Mailing Address
CASSANDRA R GRACE
178 HORNSBY CT
OZARK, AL 36360-4100
Phone number: 334-400-3745
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