Individual
GINA CULLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3040 KEMP RD, BEAVERCREEK, OH 45431-2644
(937) 458-2315
Mailing address
1023 GLEASON DR, DAYTON, OH 45424-5243
(937) 232-8720
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
322609
OH
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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