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1609073022
DERRICK ANDRE GRAY
SPRINGDALE, AR
NPI
1609073022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AR E6424)
Enumeration Date
2007-06-29
Last Update Date
2011-10-26
Business Address
Dr. DERRICK ANDRE GRAY M.D.
601 W. MAPLE SUITE 102
SPRINGDALE, AR 72764-5370
Phone number: 479-750-6585
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Mailing Address
Dr. DERRICK ANDRE GRAY M.D.
601 W. MAPLE SUITE 102
SPRINGDALE, AR 72764-5370
Phone number: 479-750-6585
Copy
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