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NPI Profile for GWENDRA G GRAVES in LONDONDERRY, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Administrator |
163WA2000X | |||
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1871222562 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 06/08/2022 | |
| Last updated | 06/09/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GWENDRA G GRAVES
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GWENDRA G GRAVES, RN