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1831825744
NIVINE B GRANNIS
SAINT PETERSBURG, FL
NPI
1831825744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11020914)
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
NIVINE B GRANNIS APRN
1839 CENTRAL AVE
SAINT PETERSBURG, FL 33713-8900
Phone number: 727-322-1054
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Mailing Address
NIVINE B GRANNIS APRN
1839 CENTRAL AVE
SAINT PETERSBURG, FL 33713-8900
Phone number: 727-322-1054
Copy
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