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Individual
COLBY ELIZABETH GRANDE
Active
Individual
COLBY ELIZABETH GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17784
SC
Other
Enumeration date
04/24/2012
Last updated
07/21/2022
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