Individual
MRS. EMILY DELORES GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
175T00000X- PEER SP
Contact information
Practice address
2304 NE VILLAGE DR, LAWTON, OK 73507-2345
(539) 204-5028
Mailing address
2304 NE VILLAGE DR, LAWTON, OK 73507-2345
(539) 204-5028
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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