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Individual

PATRICIA S GRAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTIONER

Contact information

Practice address
55 DILLMONT DR, STE 100, COLUMBUS, OH 43235-6458
(614) 839-3040
(614) 839-3041
Mailing address
55 DILLMONT DR, SUITE 100, COLUMBUS, OH 43235-6458
(614) 839-3040
(614) 839-3041

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
117351
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2044488
OH
Enumeration date
06/05/2007
Last updated
06/11/2014
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