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1073525861
JACKIE D MAXEY
LONDON, KY
NPI
1073525861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 35548)
Enumeration Date
2006-08-12
Last Update Date
2014-08-15
Business Address
Dr. JACKIE D MAXEY MD
102 PROFESSIONAL DR SUITE #2
LONDON, KY 40741-8857
Phone number: 606-878-9611
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Mailing Address
Dr. JACKIE D MAXEY MD
PO BOX 1676
LONDON, KY 40743-1676
Phone number: 606-878-9611
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