Nicole Lynn Gray
NPI #1831911536 in Prineville, Oregon
Provider Information
- NPI Number
- 1831911536
- Entity Type
- Individual
- Name
- Nicole Lynn Gray
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist
- Enumeration Date
- Oct 25, 2024
- Last Updated
- Oct 25, 2024
Practice Location
- Address
- 413 NW 3RD ST
- Address 2
- 413 NW 3RD ST
- City
- Prineville
- State
- Oregon
- ZIP Code
- 97754
- Phone
- (541) 291-3488
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist |
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