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1972541043
NICOLE GRUNENBERG
BURIEN, WA
NPI
1972541043
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Former Name
NICOLE RYAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD00034119)
Enumeration Date
2006-06-02
Last Update Date
2007-07-08
Business Address
-- NICOLE GRUNENBERG MD
16110 8TH AVE SW SUITE A-1
BURIEN, WA 98166-2962
Phone number: 206-246-1012
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Mailing Address
-- NICOLE GRUNENBERG MD
PO BOX 34936 DEPT # 5006
SEATTLE, WA 98124-1936
Phone number: 206-439-2988
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