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1609062504
LUKE WILLIAM STALEY
TERRE HAUTE, IN
NPI
1609062504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12009784)
Enumeration Date
2007-09-24
Last Update Date
2007-09-24
Business Address
Dr. LUKE WILLIAM STALEY D.D.S.
3528 WABASH AVE
TERRE HAUTE, IN 47803-1606
Phone number: 812-232-8812
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Mailing Address
Dr. LUKE WILLIAM STALEY D.D.S.
3528 WABASH AVE
TERRE HAUTE, IN 47803-1606
Phone number: 812-232-8812
Copy
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