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Individual
MS. REBECCA A GRUNDEN
Active
Individual
MS. REBECCA A GRUNDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704283041
MI
163W00000X
Registered Nurse
COA.14029-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
COA 14029-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
COA.14029-NP
—
OH
Enumeration date
11/19/2012
Last updated
02/24/2020
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