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Larry Gross

NPI 1265712533 · on the registry since 2011 · sole proprietor

Practice

Address
18880 Road 115
Cecil, OH 45821
Phone
(419) 439-2973

Registry record

Primary taxonomy
164W00000X
164W00000X
Also registered as
164W00000X
Licence states on file
OH, IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio