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1417153982
CARLA D. FRAZINE
PADUCAH, KY
NPI
1417153982
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Former Name
CARLA D. MITTENDORF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA426)
Enumeration Date
2007-06-22
Last Update Date
2014-12-22
Business Address
-- CARLA D. FRAZINE P.A.
2605 KENTUCKY AVE SUITE 402
PADUCAH, KY 42003-3800
Phone number: 270-366-7650
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Mailing Address
-- CARLA D. FRAZINE P.A.
2605 KENTUCKY AVE SUITE 402
PADUCAH, KY 42003-3800
Phone number: 270-366-7650
Copy
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