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Individual

MYCHAL GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1117 STONE RIVER DR, NORTH LAS VEGAS, NV 89030-1601
(702) 773-3271
Mailing address
3900 DALECREST DR, LAS VEGAS, NV 89129-1748

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
NV
376K00000X
Nurse's Aide
Primary
NV

Other

Enumeration date
05/27/2020
Last updated
05/27/2020
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