Individual
SOPHIA HOPE GRUENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(636) 515-3316
Mailing address
9043 HARVEST RUN CT, O FALLON, MO 63368-6220
(636) 515-3316
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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