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1326529827
DANVILLE MEDICAL SPECIALTY
DANVILLE, KY
NPI
1326529827
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Entity Type
Organization
Authorized Contact
TIM GOOCH
Owner
859-319-8487
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2018-08-23
Last Update Date
2018-08-23
Business Address
DANVILLE MEDICAL SPECIALTY
504 TENIKAT ST
DANVILLE, KY 40422-1751
Phone number: 859-319-8487
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Mailing Address
DANVILLE MEDICAL SPECIALTY
PO BOX 23794
BELFAST, ME 04915-4488
Phone number: 859-319-8487
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