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Individual

MICHAEL JAY GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
898 BEAVER DR, DUBOIS, PA 15801
(814) 371-3980
(814) 371-8317
Mailing address
898 BEAVER DR, DUBOIS, PA 15801
(814) 371-3980
(814) 371-8317

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001227
PA

Other

Enumeration date
08/02/2006
Last updated
07/08/2007
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