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1902128978
GREGORY AMBROSE
EVANSVILLE, IN
NPI
1902128978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 99041140A)
Enumeration Date
2010-02-18
Last Update Date
2010-02-18
Business Address
GREGORY AMBROSE
150 N ROSENBERGER AVE
EVANSVILLE, IN 47712-6503
Phone number: 812-491-3856
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Mailing Address
GREGORY AMBROSE
10903 E GRANDVIEW DR
EVANSVILLE, IN 47712-9537
Phone number:
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