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1346973849
NICHOLAS RAY
URBANA, IL
NPI
1346973849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
(Licence: IL 018002217)
Enumeration Date
2022-07-03
Last Update Date
2022-07-03
Business Address
Dr. NICHOLAS RAY DMD
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-326-1297
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Mailing Address
Dr. NICHOLAS RAY DMD
3833 S BOND AVE APT 339
PORTLAND, OR 97239-4739
Phone number: 801-842-9166
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