JUSTIN LEE GROSE

EVANSVILLE, IN
NPI1225632110
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  71010999A)
Enumeration Date2020-11-23
Last Update Date2021-07-30
Business Address
Mr. JUSTIN LEE GROSE PMHNP-BC
629 INGLE ST
EVANSVILLE, IN 47708-1345
Phone number: 812-602-4022
Mailing Address
Mr. JUSTIN LEE GROSE PMHNP-BC
6344 E COUNTY ROAD 500 N
GRANDVIEW, IN 47615-9434
Phone number: 812-719-6143
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