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1235152943
TED H JEFFERSON
PADUCAH, KY
NPI
1235152943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: KY 02703)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
-- TED H JEFFERSON D.O.
2605 KENTUCKY AVE DOB#3 SUITE 602
PADUCAH, KY 42003-3800
Phone number: 270-442-2449
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Mailing Address
-- TED H JEFFERSON D.O.
2605 KENTUCKY AVE DOB#3 SUITE 602
PADUCAH, KY 42003-3800
Phone number:
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