NATHAN REIDAR HOLST-GRUBBE

LEWISTON, ME
NPI1790547990
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ME  2000054326)
Enumeration Date2024-01-24
Last Update Date2024-01-24
Business Address
NATHAN REIDAR HOLST-GRUBBE
141 RUSSELL ST
LEWISTON, ME 04240-6024
Phone number: 475-233-4445
Mailing Address
NATHAN REIDAR HOLST-GRUBBE
141 RUSSELL ST
LEWISTON, ME 04240-6024
Phone number: 475-233-4445
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