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Individual

BIANCA GRUBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
45060 MAPLE CT, SHELBY TOWNSHIP, MI 48317-4926
(313) 334-8933
Mailing address
45060 MAPLE CT, SHELBY TOWNSHIP, MI 48317-4926

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115228
MI

Other

Enumeration date
12/18/2017
Last updated
12/18/2017
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