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Individual
MS. RELLA J GRUBEK
Active
Individual
MS. RELLA J GRUBEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
011-253076
IL
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/17/2024
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