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1679764534
BRIAN PHILIP DEFADE
ASHLAND, KY
NPI
1679764534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: KY 03268)
Enumeration Date
2007-08-06
Last Update Date
2010-08-26
Business Address
Dr. BRIAN PHILIP DEFADE D.O.
1101 SAINT CHRISTOPHER DR
ASHLAND, KY 41101-7087
Phone number: 606-833-3333
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Mailing Address
Dr. BRIAN PHILIP DEFADE D.O.
1101 SAINT CHRISTOPHER DR
ASHLAND, KY 41101-7087
Phone number: 606-833-3333
Copy
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