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1437720190
PHILLIP MARTIN RAY
FORT CAMPBELL, KY
NPI
1437720190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TN 11620)
Enumeration Date
2021-07-05
Last Update Date
2023-03-24
Business Address
Dr. PHILLIP MARTIN RAY DMD
3603 INDIANA AVE
FORT CAMPBELL, KY 42223-5803
Phone number: 270-798-3675
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Mailing Address
Dr. PHILLIP MARTIN RAY DMD
874 GLENRAVEN DR
CLARKSVILLE, TN 37043-8279
Phone number: 678-995-2281
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