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Michelle Grundstrom
Student in an Organized Health Care Education/Training Program in Odessa, Texas
NPI 1538797311

Michelle Grundstrom is a Student in an Organized Health Care Education/Training Program based in Odessa, TX. Michelle Grundstrom practices in Odessa, TX. The NPI Number for Michelle Grundstrom is 1538797311 and holds a License No. (Texas).

The current practice location address for Michelle Grundstrom is 701 W 5Th St Ste 1229, Odessa, TX and can be reached out via phone at 432-703-5083.

Location: 701 W 5Th St Ste 1229, Odessa, TX, 79763-4206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538797311
Provider Name
Michelle Grundstrom
Credential
Provider Entity Type
Individual
Gender
Female
Address
701 W 5Th St Ste 1229, Odessa, TX, 79763-4206
Phone Number
432-703-5083
Fax Number
Provider Enumeration Date
03/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
701 W 5Th St Ste 1229
City
Odessa
State
Texas
Zip
79763-4206
Phone Number
432-703-5083
Fax Number
person
Provider Business Mailing Address Details
Address
701 W 5Th St Ste 1229
City
Odessa
State
Texas
Zip
79763-4206
Phone Number
432-703-5083
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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