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1174678395
JASON DE-LEON GRAY
HOUMA, LA
NPI
1174678395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: LA RN120214)
Enumeration Date
2007-01-25
Last Update Date
2022-07-21
Business Address
-- JASON DE-LEON GRAY RN
5599 HIGHWAY 311
HOUMA, LA 70360-2866
Phone number: 985-857-3615
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Mailing Address
-- JASON DE-LEON GRAY RN
5599 HIGHWAY 311
HOUMA, LA 70360-2866
Phone number: 985-857-3615
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