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1255901013
LACIE MARIE PARHAM
MAYFIELD, KY
NPI
1255901013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3016277)
Enumeration Date
2021-06-24
Last Update Date
2024-03-28
Business Address
LACIE MARIE PARHAM APRN
110 KINGS DR
MAYFIELD, KY 42066-3602
Phone number: 270-804-7710
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Mailing Address
LACIE MARIE PARHAM APRN
PO BOX 497
AUGUSTA, AR 72006-0497
Phone number: 870-347-2534
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