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1427898378
DAKOTA WILLIAM FANNIN
LEXINGTON, KY
NPI
1427898378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-05-29
Last Update Date
2024-05-29
Business Address
DAKOTA WILLIAM FANNIN
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number: 859-253-1686
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Mailing Address
DAKOTA WILLIAM FANNIN
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number: 859-253-1686
Copy
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