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Individual
CASEY RAY
Active
Individual
CASEY RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95134981
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95033737
CA
Other
Enumeration date
05/30/2018
Last updated
10/07/2026
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