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1578312708
MATTHEW THOMAS HACKER
LONDON, KY
NPI
1578312708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KY 291896)
Enumeration Date
2024-05-20
Last Update Date
2024-05-20
Business Address
MATTHEW THOMAS HACKER
181 OLD WHITLEY RD
LONDON, KY 40744-8211
Phone number: 606-330-0223
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Mailing Address
MATTHEW THOMAS HACKER
181 OLD WHITLEY RD
LONDON, KY 40744-8211
Phone number: 606-330-0223
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