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1386817773
SUNRISE PEDIATRICS PLLC
MIDDLESBORO, KY
NPI
1386817773
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Entity Type
Organization
Authorized Contact
WAEL I GHANIM
Owner
606-248-6999
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: KY 38144)
Enumeration Date
2008-04-08
Last Update Date
2008-05-28
Business Address
SUNRISE PEDIATRICS PLLC
3602 CUMBERLAND AVE SUITE B103
MIDDLESBORO, KY 40965-2614
Phone number: 606-248-6999
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Mailing Address
SUNRISE PEDIATRICS PLLC
PO BOX 546
MIDDLESBORO, KY 40965-0546
Phone number: 606-248-6999
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