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1093013641
JUSTIN T RAY
CHESAPEAKE, VA
NPI
1093013641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0001204117)
Enumeration Date
2011-03-07
Last Update Date
2020-09-27
Business Address
JUSTIN T RAY PMHNP
224 GREAT BRIDGE BLVD
CHESAPEAKE, VA 23320-3904
Phone number: 757-547-9334
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Mailing Address
JUSTIN T RAY PMHNP
5265 PROVIDENCE RD STE 500
VIRGINIA BEACH, VA 23464-4210
Phone number: 757-467-9500
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