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1639158520
MICHELLE JACKSON SUMRALL
ELIZABETHTOWN, KY
NPI
1639158520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: KY 37097)
Enumeration Date
2006-01-10
Last Update Date
2024-04-24
Business Address
MICHELLE JACKSON SUMRALL MD
1301 RING RD
ELIZABETHTOWN, KY 42701-8968
Phone number: 270-765-2107
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Mailing Address
MICHELLE JACKSON SUMRALL MD
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-588-9490
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