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1295174720
WHITNEY JO TACKETT
LEXINGTON, KY
NPI
1295174720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA1824)
Enumeration Date
2013-06-18
Last Update Date
2018-02-02
Business Address
WHITNEY JO TACKETT P.A.
800 ROSE ST RM M53
LEXINGTON, KY 40536-9103
Phone number: 859-323-5908
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Mailing Address
WHITNEY JO TACKETT P.A.
800 ROSE ST RM M53
LEXINGTON, KY 40536-0298
Phone number: 859-323-5908
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