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1609315670
TINA GRUE
CHARLOTTE, NC
NPI
1609315670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5009322)
Enumeration Date
2017-02-23
Last Update Date
2023-10-24
Business Address
TINA GRUE NP-C
7903 PROVIDENCE RD STE 110
CHARLOTTE, NC 28277-8300
Phone number: 704-248-5101
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Mailing Address
TINA GRUE NP-C
3158 FREEDOM DR STE 3102
CHARLOTTE, NC 28208-0014
Phone number: 704-332-0396
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