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1679292866
MICHAEL SHANE GRAY
HOPKINSVILLE, KY
NPI
1679292866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3018060)
Enumeration Date
2022-08-23
Last Update Date
2022-08-23
Business Address
MICHAEL SHANE GRAY APRN
10755 EAGLE WAY
HOPKINSVILLE, KY 42240-8742
Phone number: 270-887-0270
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Mailing Address
MICHAEL SHANE GRAY APRN
320 W 18TH ST
HOPKINSVILLE, KY 42240-1965
Phone number: 270-887-0100
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