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1558381624
STEVE EDWARD GRUBB
GREENVILLE, MS
NPI
1558381624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS ATOO12)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
-- STEVE EDWARD GRUBB l.a.t.
1400 E UNION ST
GREENVILLE, MS 38703-3246
Phone number: 662-378-3783
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Mailing Address
-- STEVE EDWARD GRUBB l.a.t.
1429 GENIE FAIRWAY
GREENVILLE, MS 38701-7040
Phone number: 662-378-3157
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