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Individual

ANN R GRUNTHALER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
L.P.N.

Contact information

Practice address
180 AROOSTOOK AVE, MILLINOCKET, ME 04462
(207) 723-6551
(207) 723-6550
Mailing address
PO BOX 500, PATTEN, ME 04765-0500
(207) 528-2285
(207) 528-2880

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P004478
ME

Other

Enumeration date
06/16/2006
Last updated
07/08/2007
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