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1265904890
CHARITY DOUGLAS
CORBIN, KY
NPI
1265904890
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Former Name
CHARITY MOSES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 3013049)
Enumeration Date
2018-12-20
Last Update Date
2019-01-23
Business Address
CHARITY DOUGLAS
45 MOONBOW PLZ
CORBIN, KY 40701-8949
Phone number: 606-523-9010
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Mailing Address
CHARITY DOUGLAS
PO BOX 1325
CORBIN, KY 40702-1325
Phone number: 606-523-9010
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