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Individual

MR. ROY GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPSS

Contact information

Practice address
1652 NEVADA AVE, LONDON, KY 40741-2920
(606) 627-0266
Mailing address
1652 NEVADA AVE, LONDON, KY 40741-2920

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1211215
KY

Other

Enumeration date
10/03/2023
Last updated
10/03/2023
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