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1598966459
GLENDA SUE STIDHAM
MANCHESTER, KY
NPI
1598966459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QP0905X Clinic/Center, Public Health, State or Local
(Licence: KY 01984)
Enumeration Date
2007-05-29
Last Update Date
2007-07-08
Business Address
Mrs. GLENDA SUE STIDHAM IECE certified
57 MILLER RD
MANCHESTER, KY 40962-5714
Phone number: 606-598-2815
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Mailing Address
Mrs. GLENDA SUE STIDHAM IECE certified
57 MILLER RD
MANCHESTER, KY 40962-5714
Phone number: 606-598-2815
Copy
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