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Individual
RITA JUDY GRUNDEN
Active
Individual
RITA JUDY GRUNDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
022127
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84557U
BLUE CROSS
TX
01
—
P00184466
RAILROAD MEDICARE
TX
Enumeration date
01/10/2007
Last updated
11/07/2007
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