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1629030168
LEWIS WILLIAM GRAVELY
BECKLEY, WV
NPI
1629030168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: WV 11494)
Enumeration Date
2006-04-03
Last Update Date
2008-04-10
Business Address
-- LEWIS WILLIAM GRAVELY MD
413 CARRIAGE DRIVE
BECKLEY, WV 25801-2805
Phone number: 304-253-1210
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Mailing Address
-- LEWIS WILLIAM GRAVELY MD
413 CARRIAGE DRIVE
BECKLEY, WV 25801-2805
Phone number: 304-253-1210
Copy
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