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Individual

MRS. JACQUELINE GRACE RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2407 HELTON DR, FLORENCE, AL 35630-1067
(256) 718-5900
(256) 718-5918
Mailing address
2407 HELTON DR, FLORENCE, AL 35630-1067
(256) 718-5900
(256) 718-5918

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F1211235
AL

Other

Enumeration date
02/29/2012
Last updated
02/29/2012
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