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1154456895
CASEY RENEE' GRAY
SHREVEPORT, LA
NPI
1154456895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA Z12238)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
MRS. CASEY RENEE' GRAY L.O.T.R.
2205 E 70TH ST STE. 102
SHREVEPORT, LA 71105-5308
Phone number: 318-795-3388
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Mailing Address
MRS. CASEY RENEE' GRAY L.O.T.R.
809 BRITTANY LN
BOSSIER CITY, LA 71111-2172
Phone number: 318-752-1096
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