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1376676759
WRAY DOUGLAS STANDARD
JACKSONVILLE, FL
NPI
1376676759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: FL BCABA 0-01-0318)
Enumeration Date
2007-03-14
Last Update Date
2007-07-09
Business Address
Mr. WRAY DOUGLAS STANDARD BCABA
4203 SOUTHPOINT BLVD
JACKSONVILLE, FL 32216-6164
Phone number: 904-296-1055
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Mailing Address
Mr. WRAY DOUGLAS STANDARD BCABA
4117 CASTLEBAY DR
JACKSONVILLE, FL 32257-8966
Phone number: 904-296-1055
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