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1649378001
ROSE Y GRUNERT
BENTON, IL
NPI
1649378001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209005496)
Enumeration Date
2006-09-20
Last Update Date
2019-03-19
Business Address
ROSE Y GRUNERT FNP
201 BAILEY LN
BENTON, IL 62812-1969
Phone number: 618-439-3161
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Mailing Address
ROSE Y GRUNERT FNP
201 BAILEY LN
BENTON, IL 62812-1969
Phone number: 618-439-3161
Copy
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