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Individual

MAHALA GRAY

Active
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Individual

MAHALA GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.443268
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0032481
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNP.0032481
OHIO BOARD OF NURSING
OH
01
—
F07220675
AANP
OH
01
—
RN.443268
OHIO BOARD OF NURSING
OH
Enumeration date
01/05/2023
Last updated
01/24/2023
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