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1639405061
JACK D GRAY
VICTORIA, TX
NPI
1639405061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 731532)
Enumeration Date
2009-10-20
Last Update Date
2009-10-20
Business Address
-- JACK D GRAY FNP
4504 N. LAURENT ST.
VICTORIA, TX 77901
Phone number: 361-573-9999
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Mailing Address
-- JACK D GRAY FNP
2802 BON AIRE AVE
VICTORIA, TX 77901-4464
Phone number: 361-648-7535
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