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1902446503
LAURA GRAY
PRESCOTT, AZ
NPI
1902446503
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Former Name
LAURA D WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AZ 236320)
Enumeration Date
2020-01-10
Last Update Date
2022-09-30
Business Address
LAURA GRAY FNP-C
1000 WILLOW CREEK RD STE A
PRESCOTT, AZ 86301-1645
Phone number: 928-460-9866
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Mailing Address
LAURA GRAY FNP-C
PO BOX 4235
PRESCOTT, AZ 86302-4235
Phone number: 928-460-9866
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