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Individual
MRS. EUGENIE GRANT
Active
Individual
MRS. EUGENIE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA/PERS. ASST.
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
1232
FL
376K00000X
Nurse's Aide
Primary
1289
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685174696
—
FL
Enumeration date
11/08/2010
Last updated
11/08/2010
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