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JAMES DOUGLASS GRAY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES DOUGLASS GRAY RN (REGISTERED NURSE)
(513) 242-2164
Entity
Organization

Contact information

Practice address
1530 FRANKLIN AVE, NONE, CINCINNATI, OH 45237-5910
(513) 242-2164
Mailing address
1530 FRANKLIN AVE, NONE, CINCINNATI, OH 45237-5910
(513) 242-2164

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
RN.196388
OH

Other

Enumeration date
04/14/2016
Last updated
04/14/2016
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