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Individual

MR. EDWARD EUGENE GRUBBS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BC-HIS

Contact information

Practice address
10201 ARCOS AVE, 205, ESTERO, FL 33928-9459
(239) 495-2400
(239) 495-5916
Mailing address
10201 ARCOS AVE, 205, ESTERO, FL 33928-9459
(239) 495-2400
(239) 495-5916

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS3677
FL

Other

Enumeration date
06/29/2011
Last updated
06/29/2011
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