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Individual

CHRISTINA MARIE GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
Mailing address
732 BECKMAN ST, DAYTON, OH 45410-2165
(937) 253-1680

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
513129
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1386141109
OH
Enumeration date
04/09/2018
Last updated
12/14/2022
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