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Individual

MRS. LAURA C CHUMLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
5580 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5586
(270) 798-6362
Mailing address
1010 CHERRY BLOSSOM LN, CLARKSVILLE, TN 37040-6426
(931) 572-8871

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10220
TN

Other

Enumeration date
09/28/2023
Last updated
09/28/2023
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