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Individual

MRS. LENORA LEE GRAYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
208 RIDGELAKE DR, TUPELO, MS 38801-8887
(662) 397-2159
Mailing address
208 RIDGELAKE DR., TUPELO, MS 38801
(662) 397-2159

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT3650
MS

Other

Enumeration date
08/31/2010
Last updated
08/31/2010
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