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1164121588
THE FUNCTIONAL FAMILY PRIMARY CARE
OWENSBORO, KY
NPI
1164121588
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Entity Type
Organization
Authorized Contact
JAMIE DURHAM
Nurse Practitioner/Owner
270-316-0137
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2023-02-24
Last Update Date
2023-05-15
Business Address
THE FUNCTIONAL FAMILY PRIMARY CARE
920 FREDERICA ST STE 104
OWENSBORO, KY 42301-3076
Phone number: 270-238-6468
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Mailing Address
THE FUNCTIONAL FAMILY PRIMARY CARE
920 FREDERICA ST STE 104
OWENSBORO, KY 42301-3076
Phone number: 270-238-6468
Copy
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