Individual
MR. GARY BRUCE FOSTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
41250 BUTTERNUT RIDGE RD, ELYRIA, OH 44035-7431
(440) 458-4183
Mailing address
7100 FIRESTONE RD, SPENCER, OH 44275-9540
(330) 635-9244
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
339799
OH
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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