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Individual
SACKELIA GREY
Active
Individual
SACKELIA GREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001276563
VA
163W00000X
Registered Nurse
659703-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11013961
FL
390200000X
Student in an Organized Health Care Education/Training Program
0001276563
VA
Other
Enumeration date
06/24/2013
Last updated
07/21/2021
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