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1588134324
VIRGINIA A SHEPHERD-TACKETT
PRESTONSBURG, KY
NPI
1588134324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: KY 3012790)
Enumeration Date
2018-12-04
Last Update Date
2018-12-04
Business Address
MRS. VIRGINIA A SHEPHERD-TACKETT NP-C
92 PICKETT LN
PRESTONSBURG, KY 41653-8569
Phone number: 606-874-0112
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Mailing Address
MRS. VIRGINIA A SHEPHERD-TACKETT NP-C
92 PICKETT LN
PRESTONSBURG, KY 41653-8569
Phone number: 606-874-0112
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