CLARENCE EDWARD GRAY

MCDONOUGH, GA
NPI1154580405
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2008-06-03
Last Update Date2008-06-03
Business Address
Mr. CLARENCE EDWARD GRAY
275 COURTLYN WAY
MCDONOUGH, GA 30252-6997
Phone number: 678-234-2082
Mailing Address
Mr. CLARENCE EDWARD GRAY
275 COURTLYN WAY
MCDONOUGH, GA 30252-6997
Phone number:
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