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Individual
VINCENT C GROSS
Active
Individual
VINCENT C GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007869L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
919540
BLUE SHIELD #
PA
Enumeration date
08/31/2005
Last updated
11/19/2013
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