PAUL TACKETT

PRESTONSBURG, KY
NPI1063988285
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2018-10-15
Last Update Date2018-10-15
Business Address
PAUL TACKETT
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
Mailing Address
PAUL TACKETT
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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