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1003026295
JEREMY WAYNE THACKER
LEXINGTON, KY
NPI
1003026295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: KY 41747)
Enumeration Date
2007-05-23
Last Update Date
2015-08-06
Business Address
Dr. JEREMY WAYNE THACKER M.D.
800 ROSE ST HX-302 UKMC
LEXINGTON, KY 40536-0293
Phone number: 859-257-4457
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Mailing Address
Dr. JEREMY WAYNE THACKER M.D.
800 ROSE ST HX316
LEXINGTON, KY 40536-0293
Phone number: 859-948-7773
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