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1174717151
PREMIER HEALTHCARE
MAYFIELD, KY
NPI
1174717151
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Entity Type
Organization
Authorized Contact
LYNN BUSHOR
CEO
270-247-3117
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 4642P)
Enumeration Date
2007-08-31
Last Update Date
2007-08-31
Business Address
PREMIER HEALTHCARE
160 SAYRE DR
MAYFIELD, KY 42066-1945
Phone number: 270-247-3117
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Mailing Address
PREMIER HEALTHCARE
160 SAYRE DR
MAYFIELD, KY 42066-1945
Phone number: 270-247-3117
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