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1588772529
WANDA C GONSALVES
LEXINGTON, KY
NPI
1588772529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 24000)
Enumeration Date
2006-08-29
Last Update Date
2014-02-05
Business Address
WANDA C GONSALVES MD
740 S LIMESTONE K302
LEXINGTON, KY 40536-0001
Phone number: 859-323-4668
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Mailing Address
WANDA C GONSALVES MD
740 S LIMESTONE K302
LEXINGTON, KY 40536-0001
Phone number: 859-323-4668
Copy
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