MR. Jasper Earl Gray JR.

NPI #1366729196 in Whistler, Alabama

Provider Information

NPI Number: 1366729196
Entity Type: Individual
Name: MR. Jasper Earl Gray JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Enumeration Date: Nov 8, 2011
Last Updated: Nov 8, 2011

Practice Location

Address: 3727 WECO ST
City: Whistler
State: Alabama
ZIP Code: 36612-1155
Phone: (251) 458-9440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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