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1215916044
REVA DUFF TACKETT
LEXINGTON, KY
NPI
1215916044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: KY 20064)
Enumeration Date
2006-01-11
Last Update Date
2022-02-03
Business Address
Dr. REVA DUFF TACKETT MD
1720 NICHOLASVILLE RD STE 702
LEXINGTON, KY 40503-1489
Phone number: 859-264-8811
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Mailing Address
Dr. REVA DUFF TACKETT MD
1720 NICHOLASVILLE RD STE 702
LEXINGTON, KY 40503-1489
Phone number: 859-264-8811
Copy
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