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1053386185
GWYNETTA MARIA LUCKETT
FORT CAMPBELL, KY
NPI
1053386185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TN 35400)
Enumeration Date
2006-02-22
Last Update Date
2014-12-08
Business Address
-- GWYNETTA MARIA LUCKETT MD
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8388
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Mailing Address
-- GWYNETTA MARIA LUCKETT MD
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8388
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