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1386980597
PRESTON GRAY
PROVO, UT
NPI
1386980597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 8501262-1206)
Enumeration Date
2012-12-14
Last Update Date
2012-12-14
Business Address
-- PRESTON GRAY PA
2230 NORTH UNIVERSITY PARKWAY #1A
PROVO, UT 84604
Phone number: 801-377-3413
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Mailing Address
-- PRESTON GRAY PA
2230 NORTH UNIVERSITY PARKWAY #1A
PROVO, UT 84604
Phone number:
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