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Individual
BRENDA LEE GRUNZA
Active
Individual
BRENDA LEE GRUNZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN289124L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007678420038
—
PA
05
—
1016105620002
—
PA
05
—
1016105620003
—
PA
Enumeration date
03/21/2007
Last updated
01/25/2016
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