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Individual
MRS. REBECCA E GRIMAUDO
Active
Individual
MRS. REBECCA E GRIMAUDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
752187
NY
363LA2100X
Acute Care Nurse Practitioner
432679
NY
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
432679
NY
Other
Enumeration date
04/28/2023
Last updated
08/04/2023
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