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1972341642
LYDIA MARIE GRAVES
FORT CAMPBELL, KY
NPI
1972341642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 11136)
Enumeration Date
2024-07-17
Last Update Date
2024-07-17
Business Address
LYDIA MARIE GRAVES DMD
6145 DESERT STORM AVE
FORT CAMPBELL, KY 42223-5558
Phone number: 270-412-2787
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Mailing Address
LYDIA MARIE GRAVES DMD
1537 APACHE WAY
CLARKSVILLE, TN 37042-8179
Phone number: 859-801-3448
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