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Individual

MISS ANNETTE ANNMARIE GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3624 AVE DE GIEN, DELRAY BEACH, FL 33445
(561) 894-4511
(561) 894-4501
Mailing address
3624 AVE DE GIEN, DELRAY BEACH, FL 33445
(561) 894-4511
(561) 894-4501

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6906766
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6906766
ADULT FAMILY CARE HOME
FL
Enumeration date
12/21/2016
Last updated
12/21/2016
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