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1669759064
GLEN R STANDAFER
FRENCHBURG, KY
NPI
1669759064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 3007175)
Enumeration Date
2011-11-14
Last Update Date
2015-09-22
Business Address
GLEN R STANDAFER APRN
732 HIGHWAY 36
FRENCHBURG, KY 40322-8123
Phone number: 606-768-2191
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Mailing Address
GLEN R STANDAFER APRN
732 HIGHWAY 36
FRENCHBURG, KY 40322-8123
Phone number: 606-768-2191
Copy
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