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1497370019
BERNADETTE GRAY
LAWRENCEBURG, IN
NPI
1497370019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71010091A)
Enumeration Date
2020-06-09
Last Update Date
2020-06-09
Business Address
BERNADETTE GRAY FNP
165 MARY ST
LAWRENCEBURG, IN 47025-1921
Phone number: 812-584-4563
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Mailing Address
BERNADETTE GRAY FNP
9421 ACACIA PSGE
FORT WAYNE, IN 46835-9101
Phone number: 260-580-0029
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