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Individual

MS. ANGELA GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3941 AMANDA COURT, BIRMINGHAM, AL 35215
(205) 305-5841
Mailing address
3941 AMANDA CT, CENTER POINT, AL 35215-2625

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
17020904
AL

Other

Enumeration date
06/08/2017
Last updated
06/08/2017
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