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1003081258
GARY JAMES HACKETT
CRESTVIEW HILLS, KY
NPI
1003081258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: KY PA1110)
Enumeration Date
2008-04-29
Last Update Date
2014-01-21
Business Address
-- GARY JAMES HACKETT PA-C
2845 CHANCELLOR DR
CRESTVIEW HILLS, KY 41017-3418
Phone number: 859-426-4200
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Mailing Address
-- GARY JAMES HACKETT PA-C
560 S LOOP RD
EDGEWOOD, KY 41017-3405
Phone number: 859-301-2663
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