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1013145705
GREAT PHYSICIAN HEALTH SERVICES
RUSSELLVILLE, KY
NPI
1013145705
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Entity Type
Organization
Authorized Contact
MICHAEL BRIAN HUMBLE
Owner
270-726-9568
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: KY 42900)
Enumeration Date
2009-07-01
Last Update Date
2009-09-08
Business Address
GREAT PHYSICIAN HEALTH SERVICES
975 HOPKINSVILLE RD
RUSSELLVILLE, KY 42276-9774
Phone number: 270-726-9568
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Mailing Address
GREAT PHYSICIAN HEALTH SERVICES
975 HOPKINSVILLE RD
RUSSELLVILLE, KY 42276-9774
Phone number: 270-726-9568
Copy
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