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Individual

HOLLY ANN ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
10310 CENTER RD, BLUE ROCK, OH 43720-9759
(740) 319-3545
Mailing address
10310 CENTER RD, BLUE ROCK, OH 43720-9759
(740) 319-3545

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-107765
OH

Other

Enumeration date
10/01/2013
Last updated
10/01/2013
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