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Individual

LINDA M WRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
16858
WA
2084N0400X
Neurology Physician
Primary
MD00016858
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1758309
WA
Enumeration date
06/09/2005
Last updated
05/13/2014
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