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Individual

DANIEL GREGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
765 PIERCE DR, COLUMBUS, OH 43223-2425
(614) 223-1650
Mailing address
7451 W BROAD ST, GALLOWAY, OH 43119-8687

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.156843.MEDS-IV
OH

Other

Enumeration date
11/04/2016
Last updated
11/04/2016
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