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Individual

MRS. AMY GRUBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4000
Mailing address
111 WILDWOOD LN, LOUISVILLE, KY 40223-2851

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1136328
KY

Other

Enumeration date
01/17/2017
Last updated
01/17/2017
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