Individual
JACLYN MAY WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2080 MAIN ST, LONGMONT, CO 80501-1916
(303) 651-2020
Mailing address
2832 SAGE CREEK RD, FORT COLLINS, CO 80528-3105
(510) 292-8101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2918
CO
Other
Enumeration date
06/26/2012
Last updated
10/24/2016
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