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Individual

DR. JEFFREY GRAY POWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3419A JOHNSON AVE, SAN ANGELO, TX 76904-5554
(325) 812-8140
Mailing address
9582 FLOYD LN, SAN ANGELO, TX 76901-9729
(325) 812-8140

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6747
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8K3870
BLUECROSSBLUE SHIELD
TX
Enumeration date
11/01/2006
Last updated
12/23/2012
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