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Individual

JAKE PRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
105 N EARLE ST, WALHALLA, SC 29691-2419
(864) 638-9505
(864) 638-9979
Mailing address
105 N EARLE ST, WALHALLA, SC 29691-2419
(864) 638-9505
(864) 638-9979

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12345
WI
152W00000X
Optometrist
Primary
2399
SC

Other

Enumeration date
05/11/2017
Last updated
06/05/2026
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