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1023264876
ELEASHA R GRAY
STOCKBRIDGE, GA
NPI
1023264876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN121625)
Enumeration Date
2008-08-12
Last Update Date
2012-07-06
Business Address
Ms. ELEASHA R GRAY C-FNP
165 NORTH PARK TRAIL
STOCKBRIDGE, GA 30281-5086
Phone number: 770-506-1800
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Mailing Address
Ms. ELEASHA R GRAY C-FNP
165 NORTH PARK TRAIL
STOCKBRIDGE, GA 30281-5086
Phone number: 770-506-1800
Copy
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