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1073799268
BLUEGRASS EYE SURGERY PSC
LEBANON, KY
NPI
1073799268
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Entity Type
Organization
Authorized Contact
GARY N WORTZ
Owner
270-692-0047
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: KY 40650)
Enumeration Date
2008-01-17
Last Update Date
2010-11-02
Business Address
BLUEGRASS EYE SURGERY PSC
325 W WALNUT ST SUITE 400
LEBANON, KY 40033-1377
Phone number: 270-692-0047
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Mailing Address
BLUEGRASS EYE SURGERY PSC
325 W WALNUT ST SUITE 400
LEBANON, KY 40033-1377
Phone number: 270-692-0047
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