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Organization
WRIGHT STATE UNIVERSITY STUDENT HEALTH SERVICES
Active
Organization
WRIGHT STATE UNIVERSITY STUDENT HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEATHA MAE ROSS PHD, CNP (DIRECTOR)
(937) 775-2552
Entity
Organization
Contact information
Practice address
3640 COLONEL GLENN HWY, 051 STUDENT UNION, DAYTON, OH 45435
(937) 775-2552
(937) 775-2277
Mailing address
3640 COLONEL GLENN HWY, 051 STUDENT UNION, DAYTON, OH 45435
(937) 775-2552
(937) 775-2277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN-238463
OH
363LF0000X
Family Nurse Practitioner
Primary
—
OH
Other
Enumeration date
10/25/2005
Last updated
12/08/2014
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