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1063604890
EDWARD LOUIS GRUBAUGH
LANSING, MI
NPI
1063604890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MI 19043)
Enumeration Date
2007-08-15
Last Update Date
2007-08-15
Business Address
-- EDWARD LOUIS GRUBAUGH D.D.S.,M.S.
5238 W ST JOE HWY
LANSING, MI 48917-4085
Phone number: 517-321-4375
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Mailing Address
-- EDWARD LOUIS GRUBAUGH D.D.S.,M.S.
5238 W ST JOE HWY
LANSING, MI 48917-4085
Phone number: 517-321-4375
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