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Individual

SHELBY RAE GROPPUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPO, LPO

Contact information

Practice address
701 N MILLER ST STE B, WENATCHEE, WA 98801-3904
(509) 293-8170
Mailing address
701 N MILLER ST STE B, WENATCHEE, WA 98801-3904

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI60830371
WA
224P00000X
Prosthetist
Primary
PS60774668
WA

Other

Enumeration date
11/20/2019
Last updated
11/20/2019
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