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Individual

TRACI GROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1460 W 86TH ST, INDIANAPOLIS, IN 46260-2181
(317) 749-0677
(317) 735-8753
Mailing address
1460 W 86TH ST, INDIANAPOLIS, IN 46260-2181
(317) 749-0677
(317) 735-8753

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003162A
IN

Other

Enumeration date
05/12/2020
Last updated
05/12/2020
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