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1427613470
KOSSA DIOMANDE
LEXINGTON, KY
NPI
1427613470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MT MED-P)
Enumeration Date
2019-05-06
Last Update Date
2019-08-28
Business Address
KOSSA DIOMANDE
100 FUNKHOUSER BUILDING
LEXINGTON, KY 40506-0001
Phone number: 859-257-1754
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Mailing Address
KOSSA DIOMANDE
3099 KIRKLEVINGTON DR APT 138
LEXINGTON, KY 40517-2480
Phone number: 859-494-5888
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