Individual
SAMUEL LEROY GRAHAM
Active
Individual
SAMUEL LEROY GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
286500000X
Military Hospital
—
—
Other
Enumeration date
06/23/2008
Last updated
03/16/2011
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