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Individual

MR. JOHN L BRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., MT(ASCP)

Contact information

Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
14469 CHRISTEN DR, JACKSONVILLE, FL 32218-0854
(904) 683-3290
(904) 683-3290

Taxonomy

Speciality
Code
Description
License number
State
246QL0900X
Laboratory Management Specialist/Technologist
TN36736
FL
246Z00000X
Other Specialist/Technologist
Primary
01413575
FL

Other

Enumeration date
08/08/2007
Last updated
08/08/2007
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