Individual
NATHAN REIDAR HOLST-GRUBBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
141 RUSSELL ST, LEWISTON, ME 04240-6024
(475) 233-4445
(207) 755-3445
Mailing address
141 RUSSELL ST, LEWISTON, ME 04240-6024
(475) 233-4445
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000054326
ME
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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