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1134827926
TARA CORNELLA GRAY
LONDON, KY
NPI
1134827926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3019042)
Enumeration Date
2023-02-21
Last Update Date
2023-02-21
Business Address
TARA CORNELLA GRAY APRN
740 E LAUREL RD
LONDON, KY 40741-8601
Phone number: 606-877-3950
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Mailing Address
TARA CORNELLA GRAY APRN
57 SARVIS BRANCH RD
MANCHESTER, KY 40962-6354
Phone number: 606-813-3171
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