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Individual

CHANTALE RAY-GROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
STNA

Contact information

Practice address
135 E 233RD ST APT 76, EUCLID, OH 44123-1189
(216) 609-8637
Mailing address
135 E 233RD ST APT 76, EUCLID, OH 44123-1189
(216) 609-8637

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401507140413
OH

Other

Enumeration date
08/07/2019
Last updated
08/07/2019
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