Individual
MS. MARY VIRGINIA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(180) 930-8838
(386) 719-3622
Mailing address
5127 NW 62ND ST, GAINESVILLE, FL 32653-4073
(352) 379-7689
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP460472
FL
Other
Enumeration date
10/10/2006
Last updated
01/05/2008
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