SAMUEL JACOB DEDDEN

EDGEWOOD, KY
NPI1700422995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2019-11-21
Last Update Date2019-11-21
Business Address
SAMUEL JACOB DEDDEN
560 S LOOP RD
EDGEWOOD, KY 41017-3405
Phone number: 859-301-2663
Mailing Address
SAMUEL JACOB DEDDEN
4842 DARTMOUTH DR
BURLINGTON, KY 41005-9132
Phone number: 859-803-7696
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