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1629364914
LATISHA MONIQUE GRAY
BRIDGEPORT, CT
NPI
1629364914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 002538)
Enumeration Date
2011-06-24
Last Update Date
2011-06-24
Business Address
-- LATISHA MONIQUE GRAY PA-C
72 COGSWELL ST
BRIDGEPORT, CT 06610-1945
Phone number: 203-650-3451
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Mailing Address
-- LATISHA MONIQUE GRAY PA-C
72 COGSWELL ST
BRIDGEPORT, CT 06610-1945
Phone number: 203-650-3451
Copy
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