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Individual

MARY CHRISTINE GRASSL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
2814 S 108TH ST, WEST ALLIS, WI 53227-3224
(414) 885-3525
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(480) 977-1438

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
91223
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN-91223-30
LICENSE
WI
Enumeration date
02/10/2023
Last updated
07/27/2023
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