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1417651969
NICHOLAS TATE BURRIS
MADISONVILLE, KY
NPI
1417651969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
NICHOLAS TATE BURRIS
900 HOSPITAL DR
MADISONVILLE, KY 42431-1644
Phone number: 270-825-5100
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Mailing Address
NICHOLAS TATE BURRIS
380 COUNTRY CLUB LN APT F
MADISONVILLE, KY 42431-3836
Phone number: 270-619-1609
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