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Individual

KRISTINA DAWN ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1600 E TIPTON ST, SEYMOUR, IN 47274-3560
(812) 523-6787
(812) 523-6969
Mailing address
PO BOX 119, JONESVILLE, IN 47247-0119
(812) 523-6787
(812) 523-6969

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002723A & B
IN

Other

Enumeration date
05/18/2006
Last updated
10/10/2007
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