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1922257583
IVA GRANT
MINNEAPOLIS, MN
NPI
1922257583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00154000)
Enumeration Date
2008-09-18
Last Update Date
2008-09-18
Business Address
-- IVA GRANT
920 2ND AVE S SUITE 400
MINNEAPOLIS, MN 55402-3318
Phone number: 612-225-1534
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Mailing Address
-- IVA GRANT
920 2ND AVE S SUITE 400
MINNEAPOLIS, MN 55402-3318
Phone number: 612-225-1534
Copy
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