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1982096905
GENNELL GRANT
SAINT PETERSBURG, FL
NPI
1982096905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: FL MA 67006)
Enumeration Date
2015-02-27
Last Update Date
2015-02-27
Business Address
-- GENNELL GRANT
619 16TH AVE S
SAINT PETERSBURG, FL 33701-5407
Phone number: 727-709-8755
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Mailing Address
-- GENNELL GRANT
619 16TH AVE S
SAINT PETERSBURG, FL 33701-5407
Phone number: 727-709-8755
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