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Individual

MRS. GAYLE MARIE GRUBICH

Active
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Individual

MRS. GAYLE MARIE GRUBICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP30007990
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0238881
L&I
WA
05
9656745
WA
Enumeration date
11/30/2005
Last updated
11/27/2012
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