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1417190562
LAMONT RAY GHOLSTON
LOUISVILLE, KY
NPI
1417190562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: KY 4585)
Enumeration Date
2009-04-18
Last Update Date
2009-04-18
Business Address
Dr. LAMONT RAY GHOLSTON DMD
928 E BROADWAY
LOUISVILLE, KY 40204-1057
Phone number: 502-581-0015
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Mailing Address
Dr. LAMONT RAY GHOLSTON DMD
928 E BROADWAY
LOUISVILLE, KY 40204-1057
Phone number: 502-581-0015
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