Individual
KIRK WADE GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5050 BARRIE ST NW, CANTON, OH 44708-5004
(330) 479-2161
Mailing address
5050 BARRIE ST NW, CANTON, OH 44708-5004
(330) 479-2161
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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