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Individual

MR. JASON L RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
103 W. 3RD ST., MARBLETON, WY 83113
(307) 276-3306
(307) 276-3024
Mailing address
PO BOX 787, BIG PINEY, WY 83113-0787
(307) 276-3306
(307) 276-3024

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PT697
WY

Other

Enumeration date
03/15/2015
Last updated
11/15/2016
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