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1740507730
LATASHA DENISE GRAY
ATLANTA, GA
NPI
1740507730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 1091538)
Enumeration Date
2010-04-29
Last Update Date
2021-08-02
Business Address
Mrs. LATASHA DENISE GRAY PA-C
650 NORTH AVE NE # S204
ATLANTA, GA 30308-2705
Phone number: 404-504-6554
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Mailing Address
Mrs. LATASHA DENISE GRAY PA-C
1 EMBARCADERO CTR STE 1900
SAN FRANCISCO, CA 94111-3723
Phone number: 415-658-6791
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