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Individual

DEAN GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4850 W FLAMINGO RD STE 25AB, LAS VEGAS, NV 89103-3705
(702) 871-9917
Mailing address
1316 NUGGET CREEK DR, LAS VEGAS, NV 89108-1899
(702) 503-9936

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1401500195
NV
Enumeration date
08/03/2020
Last updated
08/03/2020
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