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Individual
JIMMIE C GRAYS
Active
Individual
JIMMIE C GRAYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
0014387
WI
311ZA0620X
Adult Care Home Facility
Primary
0014387
WI
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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