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Individual

MR. WILLAM EATL BRAY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.P.O.

Contact information

Practice address
310 LANGDON ST STE 2, SOMERSET, KY 42503-2795
(606) 451-0668
Mailing address
PO BOX 1323, SOMERSET, KY 42502-1323
(606) 451-0668

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
08/04/2010
Last updated
08/04/2010
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