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KAREN L GRAY R.D.

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1114020062

Individual Registrant:
 KAREN L GRAY R.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
7305 N MILITARY TRAIL WPB VETERANS ADMINISTRATION: N&FS -#120 RIVIERIA BEACH, FL 33410-6400 US
Tel: 561-422-6381  Fax: --

Contact information for business:
8259 SAINT JOHNS CT  WELLINGTON, FL 33414-7407 US
Tel: 561-422-6381  Fax: --

Registration Information:
NPI: 1114020062
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
FLND-0002807

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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