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1316507981
JESSICA DALE GOSSOM
PADUCAH, KY
NPI
1316507981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3012939)
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
JESSICA DALE GOSSOM APRN
225 MEDICAL CENTER DR STE 308
PADUCAH, KY 42003-7915
Phone number: 270-443-0777
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Mailing Address
JESSICA DALE GOSSOM APRN
225 MEDICAL CENTER DR STE 308
PADUCAH, KY 42003-7915
Phone number: 270-443-0777
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