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1215256714
PRISCILLA R GRAY
MARIETTA, GA
NPI
1215256714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XG0600X Occupational Therapist, Gerontology
(Licence: GA 000054ota)
Enumeration Date
2010-05-24
Last Update Date
2010-05-24
Business Address
Miss PRISCILLA R GRAY cota/l
26 TOWER RD NE
MARIETTA, GA 30060-6947
Phone number: 770-422-8913
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Mailing Address
Miss PRISCILLA R GRAY cota/l
2055 FAIRWAYS CT NW
KENNESAW, GA 30144-2093
Phone number: 404-903-2845
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