JUSTIN TIMOTHY PATE

SOMERSET, KY
NPI1124678859
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  3013814)
Enumeration Date2019-09-15
Last Update Date2019-09-15
Business Address
JUSTIN TIMOTHY PATE CRNA
305 LANGDON ST
SOMERSET, KY 42503-2750
Phone number: 606-678-3288
Mailing Address
JUSTIN TIMOTHY PATE CRNA
1105 PLEASANT GROVE RIDGE RD
MOUNT EDEN, KY 40046-9510
Phone number: 502-680-7048
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