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1699353086
PAVANI NATHALA
ELIZABETHTOWN, KY
NPI
1699353086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 59684)
Enumeration Date
2021-03-29
Last Update Date
2024-06-24
Business Address
PAVANI NATHALA
100 HELMWOOD PLAZA DR
ELIZABETHTOWN, KY 42701-2975
Phone number: 270-769-5579
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Mailing Address
PAVANI NATHALA
100 HELMWOOD PLAZA DR
ELIZABETHTOWN, KY 42701-2975
Phone number: 502-769-5579
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