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1235550070
TINA SHIDAL
PADUCAH, KY
NPI
1235550070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 008371)
Enumeration Date
2013-12-20
Last Update Date
2013-12-20
Business Address
-- TINA SHIDAL
1530 LONE OAK RD
PADUCAH, KY 42003-7901
Phone number: 270-444-2270
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Mailing Address
-- TINA SHIDAL
1530 LONE OAK RD
PADUCAH, KY 42003-7901
Phone number: 270-444-2270
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