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1255563607
KEENAH EVANS
BOWLING GREEN, KY
NPI
1255563607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: KY SA103)
Enumeration Date
2009-08-19
Last Update Date
2014-08-21
Business Address
Ms. KEENAH EVANS KCSA
250 PARK ST
BOWLING GREEN, KY 42101-1760
Phone number: 270-781-4828
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Mailing Address
Ms. KEENAH EVANS KCSA
1945 SCOTTSVILLE RD B2 PMB 397
BOWLING GREEN, KY 42104-3376
Phone number: 270-781-4828
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