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Individual
CARLOS RAY HUMPHRIES
Active
Individual
CARLOS RAY HUMPHRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FIRST AID
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
07/12/2024
Last updated
11/07/2024
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