Individual
ANTOINETTE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 VICTORIA CT APT 5, PORTAGE, MI 49024-2883
(269) 903-5600
Mailing address
525 VICTORIA CT APT 5, PORTAGE, MI 49024-2883
(269) 903-5600
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
MI
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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