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Individual

PAULINE ANNE GRUBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
3674 E COUNTRY FIELD CIR, WASILLA, AK 99654-5101
(907) 376-8200
Mailing address
PO BOX 916, PALMER, AK 99645-0916
(907) 745-6572
(907) 352-5590

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10076
AK

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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