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Individual
JOSHUA GRAYBEAL
Active
Individual
JOSHUA GRAYBEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP, LPO
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
ORT0000000023
TN
332BC3200X
Customized Equipment (DME)
Primary
PRO0000000023
TN
335E00000X
Prosthetic/Orthotic Supplier
ORT0000000023
TN
335E00000X
Prosthetic/Orthotic Supplier
PRO0000000023
TN
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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