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1922779750
CRAIG MATTHEW GROSS
EVANSVILLE, IN
NPI
1922779750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001858A)
Enumeration Date
2021-09-22
Last Update Date
2021-09-22
Business Address
CRAIG MATTHEW GROSS L.A.T., A.T.C.,CPED
415 CROSSLAKE DR STE B
EVANSVILLE, IN 47715-8272
Phone number: 812-476-0409
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Mailing Address
CRAIG MATTHEW GROSS L.A.T., A.T.C.,CPED
14411 HONEYSUCKLE DR
EVANSVILLE, IN 47725-9281
Phone number: 812-457-6243
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