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Individual
MRS. VICKIE LYNN GREGG
Active
Individual
MRS. VICKIE LYNN GREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7523
CA
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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