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1164031290
SPENCER GRAY
MOUNT HOPE, WV
NPI
1164031290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-07-24
Last Update Date
2021-06-28
Business Address
SPENCER GRAY
107 N FAYETTE AVE
MOUNT HOPE, WV 25880-1202
Phone number: 304-252-3394
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Mailing Address
SPENCER GRAY
107 N FAYETTE AVE
MOUNT HOPE, WV 25880-1202
Phone number:
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