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1265712749
CARISA HAGAN
ELIZABETHTOWN, KY
NPI
1265712749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 011070)
Enumeration Date
2011-08-28
Last Update Date
2011-08-28
Business Address
CARISA HAGAN
1008 N MULBERRY ST
ELIZABETHTOWN, KY 42701-2037
Phone number: 270-769-0865
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Mailing Address
CARISA HAGAN
1008 N MULBERRY ST
ELIZABETHTOWN, KY 42701-2037
Phone number:
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