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1144306440
CHARLES LEON GRAVES
JOPLIN, MO
NPI
1144306440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: MO 116521)
Enumeration Date
2006-10-29
Last Update Date
2007-07-08
Business Address
-- CHARLES LEON GRAVES M.D.
530 E 34TH ST SUITE 201
JOPLIN, MO 64804-3924
Phone number: 417-347-7550
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Mailing Address
-- CHARLES LEON GRAVES M.D.
PO BOX 2526
JOPLIN, MO 64803-2526
Phone number: 417-347-7600
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