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Individual

PHADRA M GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6725 LEBANON ST, CINCINNATI, OH 45216
(513) 242-0740
Mailing address
6725 LEBANON ST, CINCINNATI, OH 45216-2013
(513) 242-0740

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
431714
OH

Other

Enumeration date
06/08/2017
Last updated
07/21/2022
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