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1871146100
DAVINA GRANT
PHOENIX, AZ
NPI
1871146100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 229406)
Enumeration Date
2019-07-16
Last Update Date
2019-07-16
Business Address
DAVINA GRANT NP-C
3115 E VERBENA DR
PHOENIX, AZ 85048-8758
Phone number: 336-287-3519
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Mailing Address
DAVINA GRANT NP-C
3115 E VERBENA DR
PHOENIX, AZ 85048-8758
Phone number: 336-287-3519
Copy
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