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Individual

DR. JAMES HAROLD GRAY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
107 BUFFALO ST, ANTWERP, OH 45813-8434
(419) 542-5495
Mailing address
208 COLUMBUS ST, HICKSVILLE, OH 43526-1250
(419) 542-6692

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34003806
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0572590
OH
Enumeration date
09/20/2006
Last updated
09/10/2018
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