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1760254593
CHASE CULLEN IRVIN
PADUCAH, KY
NPI
1760254593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY 282446)
Enumeration Date
2023-10-25
Last Update Date
2023-10-25
Business Address
CHASE CULLEN IRVIN OTR/L
1301 BROADWAY ST
PADUCAH, KY 42001-2503
Phone number: 270-442-9502
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Mailing Address
CHASE CULLEN IRVIN OTR/L
1301 BROADWAY ST
PADUCAH, KY 42001-2503
Phone number:
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