Individual
AMY SMITH GRUEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
51546 HWY 97, LAPINE SQUARE 7N, LA PINE, OR 97739-8957
(541) 536-3300
Mailing address
51546 HWY 97 LAPINE SQUARE 7N, LAPINE, OR 97739-0000
(541) 536-3300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OR
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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