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1306113048
KIMBERLY M GRAY
SPRINGFIELD, OR
NPI
1306113048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201130527LPN)
Enumeration Date
2011-11-23
Last Update Date
2011-11-23
Business Address
Mrs. KIMBERLY M GRAY LPN
2577 35TH ST
SPRINGFIELD, OR 97477-1889
Phone number: 541-736-5141
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Mailing Address
Mrs. KIMBERLY M GRAY LPN
2577 35TH ST
SPRINGFIELD, OR 97477-1889
Phone number: 541-736-5141
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