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1104931336
NGA COLLARD PSC
ELIZABETHTOWN, KY
NPI
1104931336
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Entity Type
Organization
Authorized Contact
NGA COLLARD
Physician Owner
270-765-7676
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 23094)
Enumeration Date
2006-08-20
Last Update Date
2007-08-20
Business Address
NGA COLLARD PSC
1239 WOODLAND DR SUITE 105
ELIZABETHTOWN, KY 42701-2770
Phone number: 270-765-7676
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Mailing Address
NGA COLLARD PSC
1239 WOODLAND DR SUITE 105
ELIZABETHTOWN, KY 42701-2770
Phone number: 270-765-7676
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