Individual
MARSHA KAY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16075 STATE ROUTE BB, SAINT JAMES, MO 65559-7160
(573) 265-4729
(573) 265-7861
Mailing address
16075 STATE ROUTE BB, SAINT JAMES, MO 65559-7160
(573) 265-4729
(573) 265-7861
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
MO
Other
Enumeration date
01/22/2007
Last updated
07/09/2007
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