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Individual

MISS HALEY GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
601 UNIVERSITY DR, SAN MARCOS, TX 78666-4684
(901) 268-2886
Mailing address
512 CRADDOCK AVE APT 1624C, SAN MARCOS, TX 78666-1190
(901) 268-2886

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7147
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000
N/A
Enumeration date
04/24/2018
Last updated
04/24/2018
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