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1417158544
DAVID RAY MATTINGLY
HENDERSON, KY
NPI
1417158544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY KY9093)
Enumeration Date
2007-05-29
Last Update Date
2007-07-08
Business Address
DAVID RAY MATTINGLY R.PH.
1355 2ND ST
HENDERSON, KY 42420-3357
Phone number: 270-827-9857
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Mailing Address
DAVID RAY MATTINGLY R.PH.
337 TARTAN DR
HENDERSON, KY 42420-4789
Phone number: 270-826-3232
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