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Contact Information

STACY L GRUBER, CPSW
PO BOX 533
FORT WINGATE, NM87316-0533
 Phone: 505-870-0227
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for STACY L GRUBER · (Female)

NPI Number 1891669172
Status Active
Credentials CPSW
Entity Individual
Enumeration date 10/01/2025
Last updated 10/01/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • NM License # 1509
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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