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Individual

ALICIA MARIE GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
306 5TH ST, CLARKSTON, WA 99403-1860
(509) 758-9470
(509) 758-9478
Mailing address
306 5TH ST, CLARKSTON, WA 99403-1860
(509) 758-9470
(509) 758-9478

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO60207564
WA

Other

Enumeration date
06/02/2023
Last updated
06/02/2023
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