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1417123647
EAST KENTUCKY MEDICAL GROUP PSC
PIKEVILLE, KY
NPI
1417123647
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Entity Type
Organization
Authorized Contact
LELA C MAYNARD
President
606-432-2172
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2008-05-07
Last Update Date
2008-05-07
Business Address
EAST KENTUCKY MEDICAL GROUP PSC
50 WEDDINGTON BRANCH RD SUITE B
PIKEVILLE, KY 41501-3296
Phone number: 606-432-2172
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Mailing Address
EAST KENTUCKY MEDICAL GROUP PSC
50 WEDDINGTON BRANCH RD SUITE B
PIKEVILLE, KY 41501-3296
Phone number: 606-432-2172
Copy
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