Individual
CAROL JEAN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
101 E HOME RD, SPRINGFIELD, OH 45504-1013
(937) 346-3061
Mailing address
101 E HOME RD, SPRINGFIELD, OH 45504-1013
(937) 346-3061
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 096398
OH
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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