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1407090764
SUSAN GRAY
DALLAS, TX
NPI
1407090764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA 00004076)
Enumeration Date
2009-04-29
Last Update Date
2009-04-29
Business Address
-- SUSAN GRAY
325 N SAINT PAUL ST
DALLAS, TX 75201-3801
Phone number: 866-953-0011
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Mailing Address
-- SUSAN GRAY
3512 169TH STREET CT E
TACOMA, WA 98446-2923
Phone number: 253-970-2637
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