Individual
GALE GRUMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 KENNEDY PKWY, CORTLAND, NY 13045-1409
(607) 753-9105
Mailing address
17 HICKS HILL RD, MC GRAW, NY 13101-9500
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
392256-1
NY
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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