Individual
CRISTI LYNNE GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 ASH ST, MOUNT VERNON, OH 43050-1355
(740) 501-2198
Mailing address
7 ASH ST, MOUNT VERNON, OH 43050-1355
(740) 501-2198
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 114978
OH
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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