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Individual

JOSEPH GRACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 558-4194
(513) 558-0995
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN CRNA 019409
OH

Other

Enumeration date
01/17/2017
Last updated
05/31/2017
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