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1982953261
LACIE GRUBBE
AUSTIN, TX
NPI
1982953261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0200X Registered Nurse, Pediatrics
(Licence: TX 786889)
Enumeration Date
2012-09-02
Last Update Date
2012-09-02
Business Address
-- LACIE GRUBBE RN,BSN
5009 CANA CV
AUSTIN, TX 78749-4687
Phone number: 918-504-4376
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Mailing Address
-- LACIE GRUBBE RN,BSN
5009 CANA CV
AUSTIN, TX 78749-4687
Phone number:
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