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1164003125
FUSE MEDICAL
LONDON, KY
NPI
1164003125
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Entity Type
Organization
Authorized Contact
TAMMY WHITHEAD
Owner
606-770-5161
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2021-04-20
Last Update Date
2021-04-20
Business Address
FUSE MEDICAL
43 WACO DR
LONDON, KY 40741-8327
Phone number: 606-770-5161
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Mailing Address
FUSE MEDICAL
43 WACO DR
LONDON, KY 40741-8327
Phone number: 606-770-5161
Copy
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