RUSSELL LAMAR GRAY

MERIDIAN, ID
NPI1023678778
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-100476)
Enumeration Date2019-06-15
Last Update Date2024-12-12
Business Address
Dr. RUSSELL LAMAR GRAY OD
795 W OVERLAND RD
MERIDIAN, ID 83642-6556
Phone number: 208-871-2936
Mailing Address
Dr. RUSSELL LAMAR GRAY OD
1521 W BLUE DOWNS ST
MERIDIAN, ID 83642-8496
Phone number: 208-871-2936
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