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SHANTA GRANT

Licensed Practical Nurse

NPI: 1134830755Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

345828(NY)

Contact & Hours

Address
2927 LEXINGTON AVE
MOHEGAN LAKE, NY 10547

Quick Facts

NPI
1134830755
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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