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Individual

MARLENE GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
469 E MAPLE AVE, LANGHORNE, PA 19047-1600
(215) 750-4330
Mailing address
469 E MAPLE AVE, LANGHORNE, PA 19047-1600
(215) 750-4330

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN281733L
PA

Other

Enumeration date
09/26/2014
Last updated
09/26/2014
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