Baserine C. Grace, LPN

NPI #1013156132 in Dublin, Georgia

Provider Information

NPI Number
1013156132
Entity Type
Individual
Name
Baserine C. Grace, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Feb 12, 2009
Last Updated
Feb 12, 2009

Practice Location

Address
2121A BELLEVUE RD
City
Dublin
State
Georgia
ZIP Code
31021-2998
Phone
(478) 272-1190

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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