JOHN DOUGLAS BROADUS

LEXINGTON, KY
NPI1093272080
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2019-02-26
Last Update Date2019-02-26
Business Address
JOHN DOUGLAS BROADUS
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number: 859-253-1686
Mailing Address
JOHN DOUGLAS BROADUS
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number:
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