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Individual

DIANE E GRISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.D.

Contact information

Practice address
2164 E BROADWAY RD, TEMPE, AZ 85282-1766
(480) 970-0000
Mailing address
2406 E LA JOLLA DR, TEMPE, AZ 85282-6019
(812) 614-4441

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
13-1398
AZ

Other

Enumeration date
10/22/2013
Last updated
10/22/2013
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