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1164565180
LETICIA BRAVO
GLASGOW, KY
NPI
1164565180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: KY 171002)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
-- LETICIA BRAVO
1411 N RACE ST
GLASGOW, KY 42141-3474
Phone number: 270-651-9755
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Mailing Address
-- LETICIA BRAVO
1411 N RACE ST
GLASGOW, KY 42141-3474
Phone number: 270-651-9755
Copy
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