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1649928342
NATHAN SHANE REASOR
PADUCAH, KY
NPI
1649928342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3017378)
Enumeration Date
2022-03-13
Last Update Date
2022-07-04
Business Address
NATHAN SHANE REASOR
2601 KENTUCKY AVE STE 301
PADUCAH, KY 42003-3826
Phone number: 270-575-3113
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Mailing Address
NATHAN SHANE REASOR
3205 JEFFERSON ST
PADUCAH, KY 42001-4327
Phone number: 270-339-5181
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