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1831708015
MARVEL LUCRETIA GRANT
FORT LAUDERDALE, FL
NPI
1831708015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: FL 11008524)
Enumeration Date
2020-07-23
Last Update Date
2020-08-08
Business Address
MARVEL LUCRETIA GRANT
6600 NW 34TH AVE
FORT LAUDERDALE, FL 33309-1225
Phone number: 954-494-7564
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Mailing Address
MARVEL LUCRETIA GRANT
6600 NW 34TH AVE
FORT LAUDERDALE, FL 33309-1225
Phone number: 954-494-7564
Copy
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