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1255338984
GINA VICK BRAY
SOUTHAVEN, MS
NPI
1255338984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MS 15380)
Enumeration Date
2005-07-07
Last Update Date
2011-04-14
Business Address
Dr. GINA VICK BRAY DO
187 STATELINE RD E SUITE 10
SOUTHAVEN, MS 38671-1704
Phone number: 662-342-5353
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Mailing Address
Dr. GINA VICK BRAY DO
PO BOX 1369
SOUTHAVEN, MS 38671-0014
Phone number: 662-342-5353
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