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Individual

MS. GAYLE LYNN GRUSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
2350 W HORIZON RIDGE PKWY, HENDERSON, NV 89052-5075
(702) 564-8556
(702) 564-4485
Mailing address
2350 W HORIZON RIDGE PKWY, HENDERSON, NV 89052-5075
(702) 564-8556
(702) 564-4485

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
APN000826
NV
363LP0200X
Pediatric Nurse Practitioner
Primary
APN000826
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100505485
NV
Enumeration date
07/26/2006
Last updated
12/31/2013
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