ADAM LEE DESHONG

BEREA, KY
NPI1093345977
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: KY  3014212)
Enumeration Date2020-01-20
Last Update Date2020-01-20
Business Address
MR. ADAM LEE DESHONG APRN
234 BRENWOOD ST
BEREA, KY 40403-1637
Phone number: 859-985-0302
Mailing Address
MR. ADAM LEE DESHONG APRN
614 AUGUSTA DR
RICHMOND, KY 40475-7887
Phone number: 419-775-6907
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