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1528595352
ISAAC MITTENDORF
PADUCAH, KY
NPI
1528595352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 41002)
Enumeration Date
2017-05-11
Last Update Date
2021-04-08
Business Address
ISAAC MITTENDORF MD
2331 NEW HOLT RD
PADUCAH, KY 42001-7404
Phone number: 270-441-4777
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Mailing Address
ISAAC MITTENDORF MD
2331 NEW HOLT RD
PADUCAH, KY 42001-7404
Phone number: 270-441-4777
Copy
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