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1083236756
TAMARA MICHELE PRESCOTT
ELIZABETHTOWN, KY
NPI
1083236756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2020-05-15
Last Update Date
2020-05-15
Business Address
TAMARA MICHELE PRESCOTT CPT
4611 N DIXIE HWY STE 100
ELIZABETHTOWN, KY 42701-8828
Phone number: 502-369-1654
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Mailing Address
TAMARA MICHELE PRESCOTT CPT
740 SOUTHLAND DR
RADCLIFF, KY 40160-9606
Phone number: 904-328-9788
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