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Individual
DEBORAH VIRGINIA GROSS
Active
Individual
DEBORAH VIRGINIA GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
14099
MS
2084P0800X
Psychiatry Physician
14099
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114296
—
MS
05
—
009987395
—
AL
05
—
611212800
—
MS
Enumeration date
08/16/2006
Last updated
01/12/2024
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