ICC MEDICAL LLC

GLASGOW, KY
NPI1376730705
Entity TypeOrganization
Authorized ContactROGER WILLIAMS
Owner
270-834-8892
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  4074P)
Enumeration Date2007-10-01
Last Update Date2007-10-01
Business Address
ICC MEDICAL LLC
405 S L ROGERS WELLS BLVD
GLASGOW, KY 42141-1725
Phone number: 270-834-8892
Mailing Address
ICC MEDICAL LLC
405 S L ROGERS WELLS BLVD
GLASGOW, KY 42141-1725
Phone number: 270-834-8892
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