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Organization

CONNIE GRUBBS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CONNIE GRUBBS (PROVIDER)
(775) 223-7833
Entity
Organization

Contact information

Practice address
17605 COLD SPRINGS DR, RENO, NV 89508-8896
(775) 223-7833
Mailing address
17605 COLD SPRINGS DR, RENO, NV 89508-8896
(775) 223-7833

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
900504892
NV
Enumeration date
03/07/2016
Last updated
03/07/2016
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