Individual
MR. HAROLD LEE GRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8556
Mailing address
819 BEDFORD DR, CLARKSVILLE, TN 37042-3771
(931) 905-2259
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000048699
TN
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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