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1538350947
HOLLY C MATTINGLY
PADUCAH, KY
NPI
1538350947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2007-08-09
Last Update Date
2009-02-24
Business Address
-- HOLLY C MATTINGLY
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-442-7121
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Mailing Address
-- HOLLY C MATTINGLY
425 BROADWAY
PADUCAH, KY 42001
Phone number: 270-443-5176
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