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Individual

VIRGINIA M GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
518 WOODLAND VIEW DR, MARION, AR 72364-2834
(190) 134-0170
Mailing address
111 S 5TH ST, WEST MEMPHIS, AR 72301-4310
(901) 340-1700

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
224P00000X
Prosthetist

Other

Enumeration date
09/26/2023
Last updated
09/26/2023
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