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Individual

BRANDON S GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COHC

Contact information

Practice address
857 S BECKFORD DR, SUITE H, HENDERSON, NC 27536-3486
(252) 430-7744
(252) 430-0917
Mailing address
857 S BECKFORD DR, SUITE H, HENDERSON, NC 27536-3486
(252) 430-7744
(252) 430-0917

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
478661
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
478661
CERTIFIED OCCUPATIONAL HEARING CONSERVATIONIST
NC
Enumeration date
02/14/2013
Last updated
07/16/2013
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