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Individual
MRS. TINA D GRUNER
Active
Individual
MRS. TINA D GRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDE
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
00618978
DC
133VN1005X
Renal Nutrition Registered Dietitian
Primary
00618978
DC
Other
Enumeration date
04/18/2008
Last updated
04/02/2010
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