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1427048909
MICHAEL L PLACE
FORT CAMPBELL, KY
NPI
1427048909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SD 3786)
Enumeration Date
2005-10-25
Last Update Date
2007-07-08
Business Address
Mrs. MICHAEL L PLACE
650 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8016
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Mailing Address
Mrs. MICHAEL L PLACE
650 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL ATTN :CREDENTIALS
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8372
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