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Organization

REAL GRAY LLC

Active
Parent organization
REAL GRAY LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
REAL GRAY LLC
Authorized official
DR. NORMAN FINE OD (PARTNER)
(301) 829-4118
Entity
Organization

Contact information

Practice address
305 S MAIN ST, MOUNT AIRY, MD 21771-5397
(301) 829-4118
Mailing address
305 S MAIN ST, MOUNT AIRY, MD 21771-5397
(301) 829-4118

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
07/06/2009
Last updated
07/06/2009
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