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1700916913
WALTER MICHAEL MYRICK
PADUCAH, KY
NPI
1700916913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: KY KY5326)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
DR. WALTER MICHAEL MYRICK DMD
100 FOUNTAIN AVE SUITE 400
PADUCAH, KY 42001-2771
Phone number: 270-443-6490
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Mailing Address
DR. WALTER MICHAEL MYRICK DMD
100 FOUNTAIN AVE SUITE 400
PADUCAH, KY 42001-2771
Phone number: 270-443-6490
Copy
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