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Individual

DR. JAMES EDWARD GRAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
699 MCBROOM ST NW, SUITE A, ABINGDON, VA 24210-2511
(276) 628-1143
(276) 628-9522
Mailing address
699 MCBROOM ST NW, SUITE A, ABINGDON, VA 24210-2511
(276) 628-1143
(276) 628-9522

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000167
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009205136
VA
Enumeration date
09/26/2006
Last updated
04/15/2011
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