JILL DELANA SHORT

LOUISA, KY
NPI1619143146
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: KY  PA442)
Enumeration Date2008-05-05
Last Update Date2010-04-23
Business Address
Miss JILL DELANA SHORT PHYSICIAN ASSISTANT
412 N LOCK AVE
LOUISA, KY 41230-1115
Phone number: 606-638-4595
Mailing Address
Miss JILL DELANA SHORT PHYSICIAN ASSISTANT
606 LINCOLN AVE
PAINTSVILLE, KY 41240-1470
Phone number: 606-638-4595
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