Individual
RICHARD E. GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3265 TEAL RD, SUITE 2, LAFAYETTE, IN 47905-2264
(765) 477-1234
(765) 477-2345
Mailing address
3265 TEAL RD, SUITE 2, LAFAYETTE, IN 47905-2264
(765) 477-1234
(765) 477-2345
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
651212394/0
IN
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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