Individual
MRS. CATHERINE M GRUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
HWY 34 & 47, FORT THOMPSON, SD 57339-0200
(605) 245-1540
(605) 245-2384
Mailing address
1323 BIA ROUTE 4, PO BOX 200, FT THOMPSON, SD 57339
(605) 245-1540
(604) 245-2384
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
SD-LPN P006377
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5549010
—
SD
Enumeration date
11/26/2008
Last updated
11/26/2008
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