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1689430886
CHARLOTTE LYNN LASTER
PADUCAH, KY
NPI
1689430886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2024-02-26
Last Update Date
2024-06-26
Business Address
Miss CHARLOTTE LYNN LASTER
2206 BEIDERMAN ST
PADUCAH, KY 42003-3670
Phone number: 270-709-4675
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Mailing Address
Miss CHARLOTTE LYNN LASTER
2206 BEIDERMAN ST
PADUCAH, KY 42003-3670
Phone number: 270-709-4675
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