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Individual

MS. CHRISTINE L. MUDGE-GROUT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN NP

Contact information

Practice address
500 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2203
(415) 476-5892
(415) 476-1343
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
271565
CA

Other

Enumeration date
06/25/2006
Last updated
07/09/2007
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