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1609996586
MITZI BATES THACKER
PIKEVILLE, KY
NPI
1609996586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: KY 5152P)
Enumeration Date
2007-04-02
Last Update Date
2008-06-23
Business Address
MRS. MITZI BATES THACKER ARNP BC
911 BYPASS RD
PIKEVILLE, KY 41501-1689
Phone number: 606-218-3500
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Mailing Address
MRS. MITZI BATES THACKER ARNP BC
PO BOX 2917
PIKEVILLE, KY 41502-2917
Phone number: 606-218-3500
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