Individual
MRS. JUDY KAY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
210 MISSOURI AVE, CTMC, FORT LEONARD WOOD, MO 65573
(573) 596-1680
Mailing address
23411 TEAK LN, SAINT ROBERT, MO 65584-3259
(573) 336-4584
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
046367
MO
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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