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1205421492
MARY CHILDRESS
GLASGOW, KY
NPI
1205421492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: KY SA356)
Enumeration Date
2021-03-09
Last Update Date
2021-03-09
Business Address
MARY CHILDRESS KCSA
1301 N RACE ST
GLASGOW, KY 42141-3454
Phone number: 270-651-4444
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Mailing Address
MARY CHILDRESS KCSA
1301 N RACE ST
GLASGOW, KY 42141-3454
Phone number: 270-651-4444
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