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Individual

MRS. CINDY KAY GROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
70 ALEXANDER ST, ELDORADO, IL 62930-3390
(618) 273-9057
Mailing address
3035 ELDORADO BLACKTOP RD, RIDGWAY, IL 62979-2121
(618) 313-1954

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.263219
IL

Other

Enumeration date
05/20/2022
Last updated
05/20/2022
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