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Individual
RUTH ELLEN GRAY
Active
Individual
RUTH ELLEN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 17933
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376560151
GUADALUPE NPI
CA
01
—
1447277355
CHCCC, SANTA MARIA 1
CA
01
—
1841217866
NCMC NPI
CA
05
—
FHC03884F
—
CA
01
—
W1508
MEDICARE GROUP NUMBER
—
Enumeration date
07/21/2006
Last updated
06/11/2015
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