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Individual

MS. REBECCA SHAWN GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
599 FARRINGTON HWY, KAPOLEI, HI 96707-2028
(808) 697-3800
Mailing address
PO BOX 635, WAIALUA, HI 96791-0635
(808) 637-5577

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1363
HI
363LF0000X
Family Nurse Practitioner
Primary
1363
HI

Other

Enumeration date
07/28/2011
Last updated
11/22/2016
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