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Individual

MRS. RHONDA S GROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LDO

Contact information

Practice address
473 FRONT ST, SPRING CITY, TN 37381
(423) 365-4313
(423) 365-4413
Mailing address
473 FRONT ST, P.O. BOX 706, SPRING CITY, TN 37381-5198
(423) 365-4313
(423) 365-4413

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
TN1737
TN

Other

Enumeration date
03/02/2007
Last updated
03/20/2008
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