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Individual
MAKEDA GANT
Active
Individual
MAKEDA GANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
116446
OK
363LF0000X
Family Nurse Practitioner
1194341
TX
363LF0000X
Family Nurse Practitioner
316037
AZ
363LF0000X
Family Nurse Practitioner
5021596
NC
363LF0000X
Family Nurse Practitioner
AP61645279
WA
363LF0000X
Family Nurse Practitioner
APN.0991567-NP
CO
Other
Enumeration date
04/06/2015
Last updated
04/23/2025
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