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Individual

MRS. CAROLINE JEAN GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
2151 RUSH BLVD, YOUNGSTOWN, OH 44507-1535
(330) 744-1181
(330) 746-3353
Mailing address
2151 RUSH BLVD, YOUNGSTOWN, OH 44507-1535
(330) 744-1181
(330) 746-3353

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
122492
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
16
OH
Enumeration date
05/15/2016
Last updated
05/15/2016
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