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1740725886
AMBER GRAVES
TUPELO, MS
NPI
1740725886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MS S4216)
Enumeration Date
2016-12-28
Last Update Date
2016-12-28
Business Address
-- AMBER GRAVES
2844 TRACELAND DR
TUPELO, MS 38801-4200
Phone number: 662-680-3148
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Mailing Address
-- AMBER GRAVES
40 MOUNT PISGAH RD NW
MANTACHIE, MS 38855-8283
Phone number: 662-397-4475
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