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1689964017
DESIREE L GRUBB
BRONX, NY
NPI
1689964017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 282148)
Enumeration Date
2011-04-19
Last Update Date
2011-04-19
Business Address
Ms. DESIREE L GRUBB
781 E 142ND ST
BRONX, NY 10454-1723
Phone number: 718-993-1400
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Mailing Address
Ms. DESIREE L GRUBB
1905 STRANG AVE #1
BRONX, NY 10466-2357
Phone number: 347-335-7751
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