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1538462197
JODY GRAY
YAKIMA, WA
NPI
1538462197
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Former Name
JODY JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP60202580)
Enumeration Date
2010-12-20
Last Update Date
2015-09-17
Business Address
-- JODY GRAY
12 S 8TH ST
YAKIMA, WA 98901-3020
Phone number: 509-454-4143
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Mailing Address
-- JODY GRAY
PO BOX 719
SUNNYSIDE, WA 98944-0719
Phone number: 509-837-1602
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