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Dean Gray

Homemaker in Las Vegas, NV. Individual provider (NPI-1).

NPI number1033729348
StatusActive
Last updated in NPPESAug 3, 2020

Details

NPI
1033729348
Entity type
Individual (NPI-1)
Name
Dean Gray
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 3, 2020
Certification date
Aug 3, 2020
Last updated
Aug 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes

Practice location

4850 W Flamingo Rd Ste 25ab
Las Vegas, NV 89103-3705

Phone 702-871-9917

Mailing address

1316 Nugget Creek Dr
Las Vegas, NV 89108-1899

Phone 702-503-9936

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