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1598102832
RADWA CLARISSA OMAR
MIDDLESBORO, KY
NPI
1598102832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3008054)
Enumeration Date
2013-05-28
Last Update Date
2020-01-28
Business Address
RADWA CLARISSA OMAR APRN
3602 CUMBERLAND AVE STE B102
MIDDLESBORO, KY 40965-2614
Phone number: 606-248-7778
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Mailing Address
RADWA CLARISSA OMAR APRN
PO BOX 2898
MIDDLESBORO, KY 40965-4898
Phone number: 606-248-7778
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