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1295894137
NORTHSIDE PEDIATRICS PSC
GLASGOW, KY
NPI
1295894137
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Entity Type
Organization
Authorized Contact
SANDRA DOTSON MOSS
President
270-678-5740
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: KY 19876)
Enumeration Date
2006-12-06
Last Update Date
2020-08-22
Business Address
NORTHSIDE PEDIATRICS PSC
290 OLD JACKSON HWY 31E LOOP
GLASGOW, KY 42141-9089
Phone number: 270-678-5740
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Mailing Address
NORTHSIDE PEDIATRICS PSC
290 OLD JACKSON HWY 31E LOOP
GLASGOW, KY 42141-9089
Phone number: 270-678-5740
Copy
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