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Individual

FRAY GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2416
(770) 822-1698
Mailing address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2416
(770) 822-1698

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/15/2012
Last updated
05/15/2012
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