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Brain Ray Valid NPI

Individual provider · Peer Specialist · Bowling Green, KY

NPI
1528801263
Type
Individual (Type 1)
Primary specialty
Peer Specialist
Specialty group
Other Service Providers
Taxonomy code
175T00000X
Sex
Male
Sole proprietor
No
Enumerated
2024-06-18
Last updated
2024-06-18
Practice location
380 Suwannee Trail St
Bowling Green, KY 42103-7956
(270) 901-5000

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