Individual
GARY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14443 MAPLE LN, MOUNT VERNON, OH 43050-9000
(419) 731-3634
Mailing address
14443 MAPLE LN, MOUNT VERNON, OH 43050-9000
(419) 731-3634
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
03/17/2025
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