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1417538125
JOHNNIE RAY GRAY
RIVERSIDE, CA
NPI
1417538125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-04-15
Last Update Date
2021-04-15
Business Address
JOHNNIE RAY GRAY
2085 RUSTIN AVE
RIVERSIDE, CA 92507-2498
Phone number: 951-955-7161
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Mailing Address
JOHNNIE RAY GRAY
11852 MOUNT VERNON AVE APT 605
GRAND TERRACE, CA 92313-8317
Phone number: 480-686-3388
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