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1306985734
LESA KEATON MATTINGLY
WEST LIBERTY, KY
NPI
1306985734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 010636)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
Mrs. LESA KEATON MATTINGLY RPh
412 LIBERTY ROAD
WEST LIBERTY, KY 41472
Phone number: 606-743-4957
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Mailing Address
Mrs. LESA KEATON MATTINGLY RPh
534 RIGHT FORK LEWIS CREEK RD
MARTHA, KY 41159-8941
Phone number: 606-652-4331
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