Individual
GINA GAYLE GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
136 N STATE ST, PAINESVILLE, OH 44077-3906
(440) 352-1344
Mailing address
136 N STATE ST, PAINESVILLE, OH 44077-3906
(440) 352-1344
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 091767
OH
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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