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1073653507
ILSA Y GRUNDER
WORCESTER, MA
NPI
1073653507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MA 196255)
Enumeration Date
2007-02-07
Last Update Date
2021-06-11
Business Address
Ms. ILSA Y GRUNDER NP
55 LAKE AVE N DEPARTMENT OF HEMATOLOGY ONCOLOGY
WORCESTER, MA 01655-0002
Phone number: 508-856-3509
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Mailing Address
Ms. ILSA Y GRUNDER NP
5 NEPONSET ST
WORCESTER, MA 01606-2714
Phone number: 508-556-5400
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