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Individual
DR. JARED SPENCER GRAY
Active
Individual
DR. JARED SPENCER GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
9076358-9934
UT
152WC0802X
Corneal and Contact Management Optometrist
Primary
9076358-9934
UT
152WP0200X
Pediatric Optometrist
9076358-9934
UT
152WS0006X
Sports Vision Optometrist
9076358-9934
UT
152WX0102X
Occupational Vision Optometrist
9076358-9934
UT
Other
Enumeration date
10/17/2014
Last updated
12/03/2014
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